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Strategies for Surgical Management of Cerebral Aneurysms of Special Location, Size and Form — Approach, Technique and Monitoring

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New Trends in Cerebral Aneurysm Management

Part of the book series: Acta Neurochirurgica Supplements ((NEUROCHIRURGICA,volume 82))

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Summary

Special strategies are mandatory for optimal surgical management of aneurysms of special location, size and form. Approaches of extradural selective anterior clinoidectomy, partial occipital condylectomy, transpetrosal approach by anterior petrosectomy and supracerebellar transtentorial approach are discussed among them. Furthermore various types of temporary and permanent clipping procedures are discussed along with mention of intraoperative monitoring.

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References

  1. Araki Y, Anroh H, Yamada M, Nakatani K, Andoh T, Sakai N (1999) Permissible arterial occlusion time in aneurysm surgery: Postoperative hyperperfusion caused by temporary clipping. Neuro Med Chir (Tokyo) 39: 901–907

    Article  CAS  Google Scholar 

  2. Baues JE, Tantuwaya LS, Fukushima T, Schurman GW, Davis D (1997) Intraoperative microvascular Doppler sonography in aneurysm surgery. Neurosurgery 40: 965–972

    Article  Google Scholar 

  3. Bertalanffy H, Seeger W (1991) The dorsolateral suboccipital transcondylar approach to the lower clivus and anterior portion of the craniocervical junction. Neurosurgery 29: 815–821

    Article  PubMed  CAS  Google Scholar 

  4. Carter LP, White WL, Atkinson JR (1978) Regional cortical blood flow at craniotomy. Neurosurgery 2: 223–229

    Article  PubMed  CAS  Google Scholar 

  5. Day JD, Fukushima T, Giannotta SL (1997) Cranial base approaches to posterior circulation aneurysms. J Neurosurg 87: 544–554

    Article  PubMed  CAS  Google Scholar 

  6. Day JD, Giannota SL, Fukushima T (1994) Extradural temporopolar approach to lesions of the upper basilar artery and infrachiasmatic region. J Neurosurg 81: 230–235

    Article  PubMed  CAS  Google Scholar 

  7. Dolenc W (1985) A combined epi- and subdural direct approach to carotid-ophthalmic artery aneurysms. J Neurosurg 62: 667–672

    Article  PubMed  CAS  Google Scholar 

  8. Drake CG (1961) Bleeding aneurysms of the basilar artery. Direct surgical management in four cases. J Neurosurg 18: 230–238

    Article  PubMed  CAS  Google Scholar 

  9. Drake CG, Peerless S, Hernesniemi J (1996) The subtemporal approach. In: Drake CG, Peerless S, Hernesniemi J (eds) Surgery of vertebrobasilar aneurysms. Springer, Wien New York, pp 21–26

    Google Scholar 

  10. Fischer J, Mustafa H (1994) Endoscopic-guided clipping of cerebral aneurysms. Br J Neurosurg 8: 559–565

    Article  PubMed  CAS  Google Scholar 

  11. Friedman WA, Kaplan BL, Day AL, Sypert GW, Curran MT (1987) Evoked potential monitoring during aneurysm operation: Observation after fifty cases. Neurosurgery 20: 678–687

    Article  PubMed  CAS  Google Scholar 

  12. Gilsbach JM (1984) Intraoperative Dopplersonography in Neurosurgery. Springer, Wien New York, pp 104

    Google Scholar 

  13. Kawase T, Bertalanffy H, Shiobara R, Otani M, Toya S, Shinozaki T, Ibata Y (1993) Difference of surgical field between the lateral suboccipital approach and the transcondylar approach for the midline vertebral aneurysms. Surg Cereb Stroke (Jpn) 21: 263–268

    Google Scholar 

  14. Kawase T, Toya S, Shiobara R, Mine T (1985) Transpetrosal approach for aneurysms of the lower basilar artery. J Neurosurg 63: 857–861

    Article  PubMed  CAS  Google Scholar 

  15. Korosue H, Heros RC (1992) “Subclinoid” carotid aneurysm with erosion of the anterior clinoid process and fatal intraoprative rupture. Neurosurgery 31: 356–360

    Article  PubMed  Google Scholar 

  16. Matsushima T, Fukui M (1996) Lateral approaches to the foramen magnum: With special reference to the transcondylar fossa approach and transcondylar approach. No Shinkei Geka 24: 119–124

    PubMed  CAS  Google Scholar 

  17. Mizoi K, Takahashi A, Yoshimoto T, Fujiwara S, Koshu K (1993) Combined endovascular and neurosurgical approach for paraclinoid internal carotid artery aneurysms. Neurosurgery 33: 986–992

    Article  PubMed  CAS  Google Scholar 

  18. Morgan F (1972) Removal of anterior clinoid process in the surgery of carotid aneurysm, with some notes on recurrent subarachnoid hemorrhage during craniotomy. Schweiz Arch Neurol Neurochir Psychiatr 111: 363–368

    PubMed  CAS  Google Scholar 

  19. Ogata N, Fournier Y, Imhof HG, Yonekawa Y (1996) Thermal diffusion blood flow monitoring during aneurysm surgery. Acta Neurochir (Wien) 138: 726–731

    Article  CAS  Google Scholar 

  20. Payer M, Kaku Y, Bernays R, Yonekawa Y (1998) Intraoperative color-coded duplex sonography for localization of a distal middle cerebral artery aneurysm: Technical case report. Neurosurgery 42: 941–943

    Article  PubMed  CAS  Google Scholar 

  21. Perneczky A (1986) The posterolateral approach to the foramen magnum. In: Samii M (ed) Surgery in and around the brain stem and the third ventricle. Springer, Berlin Heidelberg New York Tokyo, pp 460–466

    Google Scholar 

  22. Perneczky A, Fries G (1998) Endoscope assisted brain surgery: part 1. Evolution, basic concept, and current technique. Neurosurgery 42: 219–225

    Article  PubMed  CAS  Google Scholar 

  23. Perneczky A, Knosp E, Vorkapic P, Czech T (1985) Direct surgical approach to infraclinoidal aneurysms. Acta Neurochir (Wien) 76: 36–44

    Article  CAS  Google Scholar 

  24. Satoh A, Nakamura H, Kobayashi S, Kageyama Y, Miyata A, Kadoh K, Nakamura T, Itoh N, Wtanabe Y (1999) Usefulness of hypothermic anesthesia in surgery for cerebral aneurysm. Surg Cerb Stroke (Jpn) 27: 183–188

    Google Scholar 

  25. Spetzler RF, Hadley MN, Rigamonti D, Carter LP, Raudzens PA, Shedd SA, Wilkinson E (1988) Aneurysms of the basilar artery treated with circulatory arrest hypothermia, and barbiturate cerebral protection. J Neurosurg 68: 868–879

    Article  PubMed  CAS  Google Scholar 

  26. Symon L, Wang AD, Costa e Silva IE, Gentili F (1984) Perioperative use of somatosensory evoked responses in aneurysm surgery. J Neurosurg 60: 269–275

    Article  PubMed  CAS  Google Scholar 

  27. Taneda M (1982) Effect of early operation for ruptured aneurysms on prevention of delayed ischemic symptoms. J Neurosurg 57: 622–628

    Article  PubMed  CAS  Google Scholar 

  28. Yasargil MG, Antic J, Laciga R, Jain KK, Hodosh RM, Smith RD (1976) Microneurosurgical pterional approach to aneurysms of the basilar bifurcation. Surg Neurol 6: 83–91

    PubMed  CAS  Google Scholar 

  29. Yasargil MG, Fox JL, Ray MW (1975) The operative approach to aneurysms of the anterior communicating artery. Adv Tech Stand Neurosurg 2: 113–170

    Google Scholar 

  30. Yasargil MG, Gasser JC, Hodosh RM, Rankin TV (1977) Carotid-ophthalmic aneurysms: Direct microsurgical approach. Surg Neurol 8: 155–165

    PubMed  CAS  Google Scholar 

  31. Yasargil MG (1984) Carotid-posterior communicating aneurysms. Chapter 2. Internal carodit artery aneurysms. In: Yasargil MG (ed) Microneurosurgery. Clinical coniderations, surgery of the intercranial aneurysms and results, vol II. Thieme, Stuttgart, pp 78–81

    Google Scholar 

  32. Yonekawa Y, Imhof HG, Ogata N, Bernays R, Kaku Y, Fandino J, Taub E (1998) Aneurysm surgery in the acute stage: Results of structured treatment. Neurol Med Chir (Tokyo) [Suppl] 38: 45–49

    Article  Google Scholar 

  33. Yonekawa Y, Imhof HG, Taub E, Curcic M, Kaku Y, Roth P, Wieser HG, Groscurth P (2001) Supracerebellar transtentorial approach to posterior temporomedial structures. J Neurosurg 94: 339–345

    Article  PubMed  CAS  Google Scholar 

  34. Yonekawa Y, Kaku Y, Imhof HG, Kiss M, Curcic M, Taub E, Roth P (1999) Posterior circulation aneurysms. Technical strategies based on angiographic anatomical findings and the results of 60 recent consecutive cases. Acta Neurochir (Wien) [Suppl] 72:123–140

    CAS  Google Scholar 

  35. Yonekawa Y, Ogata N, Imhof HG, Olivecrona M, Strommer K, Kwak TE, Roth P, Groscurth P (1997) Selective extradural anterior clinoidectomy for supra- and parasellar processes. Technical note. J Neurosurg 87: 636–642

    Article  PubMed  CAS  Google Scholar 

  36. Yoshimoto T, Suzuki J (1976) Intracranial definitive aneurysm surgery under normothermia and normotension-utilizing temporary occlusion of major cerebral arteries and preoperative mannitol administration. No Shinkei Geka 4: 775–783 (Jpn, with Eng abstract)

    PubMed  CAS  Google Scholar 

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© 2002 Springer-Verlag

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Yonekawa, Y., Khan, N., Roth, P. (2002). Strategies for Surgical Management of Cerebral Aneurysms of Special Location, Size and Form — Approach, Technique and Monitoring. In: Yonekawa, Y., Sakurai, Y., Keller, E., Tsukahara, T. (eds) New Trends in Cerebral Aneurysm Management. Acta Neurochirurgica Supplements, vol 82. Springer, Vienna. https://doi.org/10.1007/978-3-7091-6736-6_19

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  • DOI: https://doi.org/10.1007/978-3-7091-6736-6_19

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-7396-1

  • Online ISBN: 978-3-7091-6736-6

  • eBook Packages: Springer Book Archive

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