Changing Aspects in Stroke Surgery: Aneurysms, Dissection, by Yasuhiro Yonekawa, Tetsuya Tsukahara, Anton Valavanis, Nadia

By Yasuhiro Yonekawa, Tetsuya Tsukahara, Anton Valavanis, Nadia Khan

What's arterial dissection? what's Moyamoya angiopathy? what's the nation of artwork of AVM therapy? Readers will locate solutions to those questions during this ebook. yet they'll even be knowledgeable in regards to the state-of-the-art remedy within the day-by-day stroke treatment.

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Additional info for Changing Aspects in Stroke Surgery: Aneurysms, Dissection, Moyamoya angiopathy and EC-IC Bypass

Example text

Br J Neurosurg 15: 388–395 31. Ohkuma H, Tsurutani H, Suzuki S (2001) Incidence and significance of early aneurysmal rebleeding before neurosurgical or neurological management. Stroke 32: 1176–1180 32. Ohman J, Servo A, Heiskanen O (1991) Risks factors for cerebral infarction in good-grade patients after aneurysmal subarachnoid hemorrhage and surgery: a prospective study. J Neurosurg 74: 14–20 33. Orz Y, Kobayashi S, Osawa M, Tanaka Y (1997) Aneurysm size: a prognostic factor for rupture. Br J Neurosurg 11: 144–149 34.

The next day, he was transferred to the Department of Neurosurgery, University Hospital Zurich, where a magnetic resonance imaging (MRI) of the brain was performed diagnosing a suspected peripheral thrombosed giant aneurysm in the left Sylvian fissure (Fig. 1c and d), thereafter confirmed by cerebral 4-vessel angiography, which showed a fusiform aneurysm arising from a peripheral branch of the superior trunk of the left MCA (Fig. 2a and b). At that time, it was not clear if the aneurysm was dissecting or not.

4 mm (median, 5 mm; range 1–25 mm). 5%) was a giant aneurysm. Two hundred and fifty-two Table 4. 5 7Ã Unruptured Mean size in mm Median size in mm Range in mm Figures in parentheses are percentages. 0001. 2 4Ã 1–18 Location, distribution, size, condition (Table 5 and Figs. 1, 2) Aneurysms were over 12 times more likely to appear on the anterior cerebral circulation (245 vs. 20 aneurysms). 5% on MCA-M1. Most ruptured aneurysms were located on Acomm (35% of all ruptured aneurysms), followed by MCA-bif (22%), Pcomm (13%), and MCA-M1 (7%).

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