Table of Contents: Neurovascular Surgery :

Neurovascular Surgery : Surgical Approaches for Neurovascular Diseases.

Bibliographic Details
Main Author:	July, Julius.
Other Authors:	Wahjoepramono, Eka J.
Format:	eBook
Language:	English
Published:	Singapore : Springer, 2018.
Edition:	1st ed.
Subjects:	Electronic books.
Online Access:	Click to View

Table of Contents:

Intro
Preface
Contents
About the Editors
Contributors
Part I: Surgical Approaches
1: Pterional Approach
1.1 Introduction
1.2 Steps of the Approach
1.2.1 Positioning and Preparation
1.2.2 Dissection and Mobilize Temporal Muscle
1.2.3 Craniotomy
1.2.4 Basal Drilling
1.2.5 Opening the Dura and Exposing the Brain
1.2.6 Splitting Sylvian Fissure
1.2.7 Closing
1.3 Indications of the Approach
1.4 Limitations of the Approach
1.5 Complications and How to Avoid
References
2: Eyebrow Keyhole Approach in Aneurysm Surgery
2.1 Basic Consept
2.2 Preoperative Planning
2.3 Step of the Approach
2.3.1 Positioning and Preparation
2.3.2 Skin Cut
2.3.3 Mini Craniotomy and Dural Incision
2.3.4 Intradural Dissection
2.3.5 Closure and Bone Flap Replacement
2.4 Complications and How to Avoid
2.5 Limitations
Bibliography
3: Fronto-orbito-zygomatic (FOZ) Approach
3.1 Introduction
3.2 Steps of the Approach
3.2.1 Position and Preparation
3.2.2 Skin Incision and Soft Tissue Dissection
3.2.3 Craniotomy and Orbito-zygomatic Osteotomy
3.2.4 Surgical Closure
3.3 Indications of the Approach
3.4 Limitation and Complication and How to Avoid
References
4: Lateral Supraorbital Approach
4.1 Introduction
4.2 Steps of the Approach
4.2.1 Positioning
4.2.2 Incision
4.2.3 Craniotomy
4.2.4 Closure
4.3 Indications of the Approach
4.4 Limitation of the Approach
4.5 Complication and How to Avoid
Bibliography
5: Interhemispheric Approach
5.1 Introduction
5.2 Steps of the Approach
5.2.1 Positioning
5.2.2 Incision
5.2.3 Craniotomy
5.2.4 Closure
5.3 Indication of the Approach
5.4 Limitation of the Approach
5.5 Complication and How to Avoid
Bibliography.
6: Subtemporal Approach
6.1 Introduction
6.2 Steps of the Approach
6.3 Indication of the Approach
6.4 Limitation, Complication, and How to Avoid
Bibliography
7: Lateral Suboccipital Approach (Retrosigmoid)
7.1 Introduction
7.2 Steps of the Approach
7.2.1 Positioning of the Head
7.2.2 Skin Incision: Craniotomy
7.2.3 Closure
7.3 Indication of the Approach
7.4 Limitation of the Approach
7.5 Complication and How to Avoid
References
8: Transmastoid Approach for Retrolabyrinthine and Translabyrinthine
8.1 Introduction
8.2 Steps of the Surgery
8.2.1 Positioning, Incision, and Bony Landmarks
8.2.2 Mastoidectomy and Retrolabyrinthine Exposure
8.2.3 Translabyrinthine Drilling/IAC
8.2.4 Combined Transpetrosal Approach
References
9: Dissection of Extended Middle Fossa and Anterior Petrosectomy Approach
9.1 Introduction
9.2 Standard Middle Fossa Approach
9.2.1 Steps of the Surgery
9.2.1.1 Incision, Craniotomy, and Dural Elevation
9.2.1.2 IAC Drilling
9.2.1.3 IAC Dura Incision and Tumor Removal
9.3 Extended Middle Fossa and Anterior Petrosectomy Approach
9.3.1 Steps of the Surgery
9.3.1.1 Incision, Scalp Reflection, and Craniotomy
9.3.1.2 Dural Elevation and Identification of "Rhomboid" Structure
9.3.1.3 Extradural Bone Removal
9.3.1.4 Dural Opening
10: Basic Endovascular Technique for Aneurysm Coiling
10.1 Introduction
10.2 Indication
10.3 Technical Aspect
10.3.1 Preparation
10.3.2 Vascular Access Phase
10.3.3 Intervention Phase
10.4 Case Illustration
References
Part II: Surgery for Specific Location of Vascular Lesion or Specific Pathology
11: Surgery of Posterior Communicating Artery Aneurysm
11.1 Sign and Symptoms
11.2 Investigation and Imaging.
11.2.1 The Size of the PCoA Itself
11.2.2 The Direction of Aneurysm Dome
11.2.3 Anterior Clinoidectomy
11.3 Steps of the Surgery
11.3.1 Position, Skin Incision, and Craniotomy
11.3.2 Dural Opening and Dissection
11.3.3 Closing
11.4 Expert Opinion/Suggestion to Avoid Complication
11.5 Things to Be Observed and Postoperative Care/Follow-Up
References
12: Surgery of IC-Anterior Choroidal Aneurysms
12.1 Signs and Symptoms
12.1.1 Anatomy
12.1.2 Variants
12.2 Preoperative Investigation
12.3 Presurgical Preparation
12.3.1 Approach
12.4 Surgical Steps
12.5 Complication Management and Avoidance
12.6 Postoperative Care and Follow-Up
12.6.1 Pearls
References
13: Surgery of Paraclinoid Aneurysm
13.1 Signs and Symptoms
13.1.1 Case Illustration One
13.1.2 Case Illustration Two
13.2 Investigation
13.3 Preoperative Preparation
13.3.1 Neuroimaging Examinations
13.3.2 Suction Decompression
13.3.3 Bypass Procedure (Revascularization)
13.3.4 Intraoperative Angiography
13.3.5 Spinal Drainage
13.3.6 Intraoperative Monitoring
13.3.7 Instruments for Anterior Clinoidectomy
13.3.8 Approach
13.4 Steps of the Surgery
13.4.1 Patient Position
13.4.2 Skin Incision
13.4.3 Craniotomy
13.4.4 Opening the Optic Canal and then Complete Removal of ACP
13.4.5 Removing Optic Strut to Insert the Clip Blades
13.4.6 Open the Dura and Sylvian Fissure Dissection
13.4.7 Cutting Falciform Ligament and DDR
13.4.8 Clip Application
13.4.9 Suction Decompression (If Necessary)
13.4.10 Hemostasis and Closure
13.5 Expert Opinion/Suggestion to Avoid Complication
13.5.1 Avoiding Visual Disturbance (Optic Nerve Injury)
13.5.2 Avoiding CSF Leakage (Rhinorrhea)
13.5.3 Intraoperative Rupture of the Aneurysm.
13.5.4 Occlusion and Injury of Ophthalmic Artery or ICA
13.6 Things to Be Observed and Postoperative Care/Follow-Up
References
14: Surgery of Anterior Communicating Artery Aneurysms
14.1 Sign and Symptoms
14.2 Investigation
14.2.1 Aneurysm Projections
14.2.2 A2 Fork
14.3 Preoperative Preparation
14.3.1 Approach
14.4 Steps of the Surgery
14.4.1 Proximal Control Clipping
14.4.2 Gyrus Rectus Resection
14.4.3 Aneurysm Dissection and Clipping
14.4.4 Superior Projecting Aneurysms
14.4.5 Anterior Projecting Aneurysms
14.4.6 Inferior Projecting Aneurysms
14.4.7 Posterior Projecting Aneurysms
14.5 Surgeon Plan to Handle the Complication
14.6 Expert Opinion/Suggestion to Avoid Complication
14.7 Things to Be Observed and Postoperative Care/Follow-Up
References
15: Surgery of Middle Cerebral Artery (MCA) Aneurysm
15.1 Sign and Symptoms
15.2 Investigation and Imaging
15.3 Preoperative Preparation and Simulation
15.4 Steps of the Surgery
15.4.1 Position (Fig. 15.2)
15.4.2 Skin Incision (Fig. 15.3)
15.4.3 Craniotomy (Fig. 15.3)
15.4.4 Dural Incision (Fig. 15.3)
15.4.5 Dissection of Sylvian Fissure
15.4.6 Selection of Proximal and Distal Approach
15.4.7 Proximal Approach (From ICA to M1 Approach)
15.4.8 Distal Approach (From M2 to M1 Approach)
15.4.9 Dissection of the Aneurysm and Neck Clipping
15.4.10 Dural Closure
15.5 Surgeon Plan to Handle the Complication
15.6 Expert Opinion/Suggestion to Avoid Complication
15.7 Things to Be Observed and Postoperative Care/Follow-Up
References
16: Surgery of Posterior Cerebral Artery Aneurysm
16.1 Sign and Symptoms
16.2 Investigation
16.3 Preoperative Preparation
16.3.1 Approach
16.4 Steps of the Surgery
16.5 Surgeon Plans to Handle the Complication.
16.6 Expert Opinion/Suggestion to Avoid Complication
16.7 Things to Be Observed and Postoperative Care/Follow-Up
References
17: Surgery of Upper Basilar Artery Aneurysm
17.1 Signs and Symptoms
17.2 Investigation
17.3 Preoperative Preparation
17.3.1 Approach
17.3.1.1 Extradural Temporopolar Approach ETA
17.3.1.2 Patient Position, Skin Incision, and Craniotomy
17.4 Steps of the Surgery
17.5 Specific Plans to Handle Complications and Expert Opinion
17.5.1 How to Avoid Heat Injury During Skull Base Drilling
17.5.2 How to Control Bleeding from the Cavernous Sinus
17.6 Important Observations and Postoperative Care
References
18: Surgery of Superior Cerebellar Artery Aneurysm (SCA)
18.1 Signs and Symptoms
18.2 Investigation
18.3 Preoperative Preparation
18.4 Steps of Surgery
18.5 Expert Opinion/Suggestion to Avoid Complication
18.6 Postoperative Measures
References
19: Surgery of Posterior Inferior Cerebellar Artery (PICA) Aneurysm
19.1 Sign and Symptoms
19.2 Investigation and Vascular Anatomy
19.3 Steps in Surgery
19.4 Expert Opinion
References
20: Surgery of Giant Aneurysm
20.1 Sign and Symptoms
20.2 Investigation
20.3 Steps of Surgery
20.3.1 Surgical Approach
20.3.2 Endovascular Approach
20.4 Expert Opinion/Suggestion to Avoid Complication
References
21: Surgery of Posterior Fossa AVM
21.1 Signs and Symptoms
21.1.1 Location
21.1.2 Signs and Symptoms
21.2 Investigation
21.2.1 Approach
21.3 Modalities of Treatment
21.3.1 Endovascular Techniques
21.3.2 Radiotherapy
21.3.3 Microsurgery
21.4 Steps of the Surgery
21.4.1 Supracerebellar Approach [20]
21.4.1.1 Positioning
21.4.1.2 Incision and Craniotomy
21.4.1.3 Dural Opening
21.4.2 Retrosigmoid Approach [20].
21.4.2.1 Positioning.

Neurovascular Surgery : Surgical Approaches for Neurovascular Diseases.

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