By J. P. Mohr (auth.), Prof. Dr. Yasuhiro Yonekawa, Dr. Tetsuya Tsukahara, Prof. Dr. Anton Valavanis, Dr. Nadia Khan (eds.)

What is arterial dissection? what's Moyamoya angiopathy? what's the kingdom of paintings 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 therapy.

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Extra info for Changing Aspects in Stroke Surgery: Aneurysms, Dissections, Moyamoya Angiopathy and EC-IC Bypass

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Muroi, N. Khan, P. Roth, Y. Yonekawa Department of Neurosurgery, Zurich University Hospital, Zurich, Switzerland Summary Introduction Background. The thalamic cavernous angioma (CA) represents a neurosurgical challenge because of the critical neurologic functions of the thalamus and its surrounding structures and of their deep location inside the brain. Although the natural history of the thalamic CA remains undefined, several studies suggest the poor outcome of those patients especially if the symptomatic thalamic CA is treated conservatively.

Discussion and review of literature The dilemma in treating intracranial aneurysms that cannot be clipped or adequately and safely occluded with coils is that the lesion can involve the entire circumference of the parent vessel wall incorporating vital perforating arteries or distal vessel branches, this fusiform aneurysms have no true neck, in addition to their complex irregular shape and size making them unamenable to traditional clipping or endovascular coil embolisation.

She also complained of double vision. The thalamic CA of 2 cm was surgically removed (Figs. 1A–C and 2A–D). She recovered well from the original neurological deficits. However, seven years later she presented with a vertical gaze paresis and with deterioration of her pre-existing sensory disturbance on the right side. The follow-up magnetic resonance imaging (MRI) study revealed recurrence=regrowth of the thalamic CA (Fig. 1D–F). The paraculminar supracerebellar approach was performed again in the same fashion as during the first operation.

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