Neurosurgical Management of Aneurysmal Subarachnoid Haemorrhage

ISBN-13: 9783211832561 / Angielski / Twarda / 1999 / 175 str.

I. a. Langmoen; T. Lundar; R. Aaslid

Opis

The small neck of the aneurysm afforded an easy surgical attack. An ordinary flat silver clip was placed over the sac and tightly compressed obliterated it completely. The clip was flush with the wall of the carotid artery. The sac, lateral to the silver clip, was then picked up with the forceps and thrombosed by the electocautery. Walter Dandy reporting his successful operation of a posterior communicating aneurysm on March 23, 1937. Walter Dandy's patient left the hospital in good health 2 weeks later, and from his report one may gain the impression that the operation was an easy task. Despite continuous developments during the following decades, it was not until the introduction of the operating microscope and microsurgical techniques that surgical treatment was generally accepted. During the microsurgical era surgical results have continued to improve due to diagnostical, neuroanaesthesi ological, and microsurgical refinements, and improved neurointensive care. Endovascular obliteration has become an important treatment alternative but this has not been included in this particular volume. The purpose of the present supplement of the ACTA NEUROCHIRURGICA is to review some of the elements in the neurosurgical management of patients with aneurysmal subarachnoid haemorrhage that are important for a successful outcome. Professor Helge Nornes has been a major force in the development of new techniques and research strategies in this area for a number of years and has recently retired from the National Hospital in Oslo."

Recenzje

"This supplement to Acta Neurochirurgica ... is a slim but comprehensive, up-to-date, and excellent volume ... This is a well-made book, well worth its price, on high quality paper, with excellent radiographic images ... Neurosurgeons with a special interest in aneurysms as well as residents-in-training will find this book very useful, and it should be part of every library serving an academic neurosurgical program. The Canadian Journal of Neurological Sciences, 22. 3. 2000 "... this is an excellent book summarizing the actual pathophysiology, the neurosurgical treatment as well as the intensive care of patients with aneurysmal SAH ... This book should be on the shelf of all neurosurgeons and is certainly very helpful for intensivists dealing with this disease." Intensive Care Medicine, 1999/25

Spis treści

A Tribute to Helge Nornes.- Intracranial Aneurysms and Subarachnoid Hemorrhage Management of the Poor Grade Patien.- Etiology of Cerebral Vasospas.- Hemodynamics of Cerebrovascular Spasm.- The Role of Transcranial Doppler in the Management of Patients with Subarachnoid Haemorrhage — a Review.- Neurointensive Care of Aneurysmal SAH.- Virtues and Drawbacks of Titanium Alloy Aneurysm Clip.- A Combined Transorbital-Transclinoid and Transsylvian Approach to Carotid-Ophthalmic Aneurysms Without Retraction of the Brain.- Extradural Approach to Intracavernous ICA Aneurysm.- Surgical Treatment of Anterior Circulation Aneurysms.- Posterior Circulation Aneurysms. Technical Strategies Based on Angiographic Anatomical Findings and the Results of 60 Recent Consecutive Case.- Surgical Strategies for Giant Intracranial Aneurysms.- Functional Outcome After Aneurysmal Subarachnoid Hemorrhag.- Author Index.- Index of Keywords.