Microsurgical Neurosurgery.IIIB

Author: Yasargil (Switzerland)
Publisher:
Publish Date: 2004-02-01
Features: Microsurgical treatment of vascular malformations began in Zurich in January 1967. Over the following 20 years, 414 patients with intracranial arteriovenous malformations (AVMs) and 71 patients with spinal AVMs were treated surgically. In addition, 86 patients with intracranial AVMs were discharged from our department without surgical treatment; among them, 40 AVMs were resectable, but the patients refused surgery. Another 24 cases were not operated on at the time due to the risk of neurological damage, but were later surgically resected. There were also 22 cases (22/500=4.4%) of unresectable AVMs. This volume (IIIA and IIIB) summarizes and analyzes the surgical and non-surgical experiences of these 414 cases of intracranial AVMs, discusses the treatment of these refractory lesions before and after the advent of microsurgery, as well as current unresolved issues. Other surgically treatable intracranial vascular lesions, such as cavernous hemangiomas (22 cases) and venous angiomas (5 cases A), are briefly introduced. AVMs of the meninges, spinal meninges, and spinal cord, as well as the interventional and surgical treatment of internal carotid-cavernous fistulas, are not discussed in this book and will be covered in a separate monograph.
Content of Volume IIIA: Historical review, embryology, pathology, hemodynamics, Doppler technology, neuroradiology, microsurgical anatomy, microcirculation, calcarine sulcus anatomy.
Content of Volume IIIB: General principles of surgical techniques; treatment methods and surgical outcomes for AVMs in different regions of the brain, such as convexity AVMs (frontal, temporal, insular, parietal, occipital, and cerebellar hemispheres) and deep midline AVMs (limbic system, corpus callosum, internal capsule, basal ganglia, thalamus, midbrain-diencephalon region, Galen's vein of Galen area, splenium of corpus callosum, choroid plexus, pons); overall and specific statistical analyses of disability rate, mortality, complications, and follow-up of non-surgical patients; a chapter on cavernous hemangiomas and venous angiomas; and a chapter on the neuroanesthetic techniques used in Zurich.