Acta Neurochirurgica
Supplements
Editor: H.-J. Steiger
New Trends of Surgery for Stroke and its Perioperative Management
Edited by
Y. Yonekawa, Y. Sakurai, E. Keller, and T. Tsukahara Acta Neurochirurgica
Supplement 94
SpringerWienNewYork
Prof. Dr. Yasuhiro Yonekawa PD. Dr. Emanuela Keller
University Hospital, Zurich, Switzerland
Dr. Yoshiharu Sakurai
Department of Neurosurgery, Sendai National Hospital, Sendai, Japan
Dr. Tetsuya Tsukahara
Department of Neurosurgery, Kyoto National Hospital, Kyoto, Japan
This work is subject to copyright.
All rights are reserved, whether the whole or part of the material is concerned, specifically those of translation, reprinting, re-use of illustrations, broadcasting, reproduction by photocopying machines or similar means, and storage in data banks.
Product Liability: The publisher can give no guarantee for all the information contained in this book. This also refers to that on drug dosage and application thereof. In each individual case the respective user must check the accuracy of the information given by consulting other pharmaceutical literature. The use of registered names, trademarks, etc. in this publication does not imply, even in the absence of specific
statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use.
6 2005 Springer-Verlag/Wien Printed in Austria
SpringerWienNewYork is a part of Springer ScienceþBusiness Media springeronline.com
Typesetting: Asco Typesetters, Hong Kong
Printing and Binding: Druckerei Theiss GmbH, 9431 St. Stefan, Austria, www.theiss.at Printed on acid-free and chlorine-free bleached paper
SPIN: 11377313
Library of Congress Control Number: 2005924436
With partly coloured Figures
ISSN 0065-1419
ISBN-10 3-211-24338-0 SpringerWienNewYork ISBN-13 978-3-211-24388-1 SpringerWienNewYork
Preface
In the last years progress has been made in stroke treatment. In July 2004 specialists in neurosurgery, neuroradiology, neurology and neurointensive care discussed recent trends at the 2nd Swiss Japanese Joint Conference on Cerebral Stroke Surgery held in Zurich, Switzerland. Prof. Dr. Y. Yonekawa, Zurich and Prof.
D. Y. Sakurai, Sendai were the presidents of the con- ference. New concepts were worked out during the conference and are published in this volume. The book starts with the topic intracranial aneurysms, discussing microsurgical and endovascular treatment modalities, as well as new surgical approaches. Further chapters deal with the management of unruptured aneurysms and with subarachnoid hemorrhage. Practical guide- lines for vasospasm treatment are given. Together with contributions about arteriovenous malformations and
fistulas, cerebral revascularization techniques and sur- gery related to the intracranial venous system a com- prehensive overview about stroke surgery is given with an interdisciplinary approach. The book should be of interest for all specialists involved in therapy of cere- brovascular disease. The editors extend their gratitude to the many contributors and to all those who partici- pated in the conference. Publication of the proceedings is partially supported by Research Fund for Cardio- vascular diseases from Japanese Ministry of Health, Labour and Welfare; Assessment of the quality of medical care in cardio- and cerebrovascular diseases and the principal national hospitals.
Y. Yonekawa, Y. Sakurai, E. Keller, and T. Tsukahara
Contents
Intracranial aneurysms
Niemela¨, M., Koivisto, T., Kivipelto, L., Ishii, K., Rinne, J., Ronkainen, A., Kivisaari, R., Shen, H., Karatas, A., Lehecka, M., Fro¨sen, J., Piippo, A., Ja¨a¨skela¨inen, J., Hernesniemi, J.:
Microsurgical clipping of cerebral aneurysms after the ISAT Study . . . 3 Sugiu, K., Tokunaga, K., Watanabe, K., Sasahara, W., Tagawa, M., Tamesa, N., Ono, S., Onoda, K.,
Date, I.:
Endovascular treatment for elderly patients with ruptured aneurysm . . . 7 Kaku, Y.:
Conventional microsurgical technique and the endovascular method for the treatment of cerebral
aneurysms: a comparative view . . . 11 Hernesniemi, J., Ishii, K., Niemela¨, M., Smrcka, M., Kivipelto, L., Fujiki, M., Shen, H.:
Lateral supraorbital approach as an alternative to the classical pterional approach. . . 17 Kahn, N., Yoshimura, S., Roth, P., Cesnulis, E., Koenue-Leblebicioglu, D., Curcic, M., Imhof, H.-G.,
Yonekawa, Y.:
Conventional microsurgical treatment of paraclinoid aneurysms: state of the art with the use of the
selective extradural anterior clinoidectomy SEAC . . . 23 Hernesniemi, J., Ishii, K., Niemela¨, M., Krivipelto, L., Fujiki, M., Shen, H.:
Subtemporal approach to basilar bifurcation aneurysms: advanced technique and clinical experience. . . 31 Yonekawa, Y., Khan, N., Imhof, H.-G., Roth, P.:
Basilar bifurcation aneurysms. Lessons learnt from 40 consecutive cases . . . 39
Perioperative management Schuknecht, B.:
Endovascular treatment of cerebral vasospasm following aneurysmal subarachnoid hemorrhage . . . 47 Semenyutin, V. B., Aliev, V. A., Nikitin, P. I., Kozlov, A. V.:
The intracranial B-waves’ amplitude as prognostication criterion of neurologic complications in
neuroendovascular interventions. . . 53 Satoh, A., Nakamura, H., Kobayashi, S., Miyata, A., Matsutani, M.:
Management of severe subarachnoid hemorrhage; significance of assessment of both neurological and
systemic insults at acute stage . . . 59
Keller, E., Krayenbu¨hl, N., Bjeljac, M., Yonekawa, Y.:
Cerebral vasospasm: results of a structured multimodal treatment . . . 65
Management of unruptured intracranial aneurysms
Tsukahara, T., Murakami, N., Sakurai, Y., Yonekura, M., Takahashi, T., Inoue, T., Yonekawa, Y.:
Treatment of unruptured cerebral aneurysms; a multi-center study at Japanese national hospitals . . . 77 Terada, T., Tsuura, M., Matsumoto, H., Masuo, O., Tsumoto, T., Yamaga, H., Itakura, T.:
Endovascular treatment of unruptured cerebral aneurysms. . . 87 Imhof, H.-G., Yonekawa, Y.:
Management of ruptured aneurysms combined with coexisting aneurysms . . . 93 Suyama, K., Kaminogo, M., Yonekura, M., Baba, H., Nagata, I.:
Surgical treatment of unruptured cerebral aneurysms in the elderly . . . 97
Intracranial arteriovenous malformations and Dural AVM, AVF Yonekawa, Y., Imhof, H.-G., Bjeljac, M., Curcic, M., Khan, N.:
Three cases of AVM at eloquent areas finally treated with conventional microsurgical method. . . 105 Kuhmonen, J., Piippo, A., Va¨a¨rt, K., Karatas, A., Ishii, K., Winkler, P., Niemela¨, M., Porras, M.,
Hernesniemi, J.:
Early surgery for ruptured cerebral arteriovenous malformations . . . 111 Steiger, H.-J., Ha¨nggi, D., Schmid-Elsaesser, R.:
Cranial and spinal dural arteriovenous malformations and fistulas: an update . . . 115 Kuwayama, N., Kubo, M., Tsumura, K., Yamamoto, H., Endo, S.:
Hemodynamic status and treatment of aggressive dural arteriovenous fistulas . . . 123
Cerebral revascularization Carotid- and vertebral-stenosis Barth, A.:
Conventional microsurgical endarterectomy. . . 129 Tsukahara, T., Hatano, T., Ogino, E., Aoyama, T., Nakakuki, T., Murakami, M.:
Surgical treatment for bilateral carotid arterial stenosis . . . 133 Hatano, T., Tsukahara, T., Ogino, E., Aoyama, T., Nakakuki, T., Murakami, M.:
Stenting for vertebrobasilar artery stenosis . . . 137
Extracranial-intracranial bypass
Streefkerk, H. J., Bremmer, J. P., Tulleken, C. A.:
The ELANA technique: high flow revascularization of the brain. . . 143 Khan, N., Yonekawa, Y.:
Moyamoya angiopathy in Europe . . . 149
VIII Contents
Reinert, M., Brekenfeld, C., Taussky, P., Andres, R., Barth, A., Seiler, R. W.:
Cerebral revascularization model in a swine . . . 153 Inoue, T., Fujimoto, S.:
Prediction of cerebral blood flow restoration after extracranial-intracranial bypass surgery using
superficial temporal artery duplex ultrasonography (STDU) . . . 159
Venous system
Sindou, M., Auque, J., Jouanneau, E.:
Neurosurgery and the intracranial venous system . . . 167 Keller, E., Pangalu, A., Fandino, J., Ko¨nu¨, D., Yonekawa, Y.:
Decompressive craniectomy in severe cerebral venous and dural sinus thrombosis. . . 177 Author index . . . 185 Index of keywords . . . 187 Listed in Current Contents
Contents IX
