Nowadays, neurovascular diseases represent a field of enormous interest in clinical and surgical areas because of their complex management and recent advances about surgical and endovascular techniques. The difficult decision-making process at the base of these pathologies comprehends a wide series of treatment options which ought to be mastered by all the specialists facing the neurovascular pathology. This book addresses every aspect of the most common neurovascular diseases, as intracranial aneurysms, brain and spinal cord AVMs and cavernous angiomas, cranial and spinal dural arteriovenous fistulas, as well as spontaneous cerebral haemorrhages. It also focuses on the newer technologies regarding the intraoperative imaging of the cerebral blood flow. A large part is dedicated to the surgical approaches, but also tips and tricks of the management of these complex pathologies, presented by expert and world-renowned neurosurgeons, neuroradiologists and other specialists. The first section reviews the anatomy of the skull base, cranial and spinal cord vasculature. The second analyses in detail the diagnosis, decision-making process, preoperative evaluation and surgical planning of the most common surgical neurovascular diseases. The third reports the most common surgical approaches employed for cranial neurovascular diseases, whereas the fourth miscellaneous section is mainly dedicated to the peculiar aspects regarding the management of giant and complex aneurysms, endovascular techniques, and also the role of radiosurgery for specific intra-axial vascular lesions. A further chapter describes the technical aspects regarding the use of indocyanine green and fluorescein videoangiography during neurovascular surgery. The main valuable strengths of this book lie in its case-based conception and wide number of coloured figures, tables and treatment algorithms. In its structured organization, this book serves as a practical case-based guide for neurosurgeons, neurologists, neuroradiologists, residents, fellows, physicians and medical students involved in the field of neuroscience. The book enables all these specialists to gain high-value insights into the preoperative evaluation, planning, surgical techniques, pitfalls, prevention and management of complications of the surgical neurovascular pathology. Thanks to the contribution of different world-renowned neurosurgeons, neuroradiologists and experts, this book also promotes an updated overview of the most recent advances in neurovascular and neuroendovascular surgery, at the same time encouraging an interdisciplinary approach.
Preface; Microsurgical Anatomy of the Cranial Base; Vascular Anatomy of the Cranial Anterior Circulation; Vascular Anatomy of the Cranial Posterior Circulation; Vascular Anatomy of the Spinal Cord; Intracranial Aneurysms; Brain Arteriovenous Malformations; Spinal Arteriovenous Malformations; Brain and Spinal Cord Cavernous Malformations; Cranial and Spinal Dural Arteriovenous Fistulas; Cerebral Hemorrhages; Principles of Neuroanesthesia; Intraoperative Neurophysiological Monitoring in Neurovascular Surgery; Intraoperative Evaluation of Cerebral Blood Flow; Pterional Approach; Trans-Eyebrow Keyhole Approach; Cranio-Orbito-Zygomatic Approach; Interhemispheric Approach; Subtemporal Approach; Retrosigmoid Approach; Far Lateral Approach; Combined Petrosal Approach; Approaches for Brain and Spinal Cord Arteriovenous Malformations; Approaches for Brain and Spinal Cord Cavernous Malformations; Approaches for Brain and Spinal Cord Dural Arteriovenous Fistulas; Endoscope-Assisted Microneurosurgery for Intracranial Aneurysms; Surgical Management of Giant Intracranial Aneurysms; Revascularization Techniques for Complex Intracranial Aneurysms; Endovascular Treatments for Intracranial Aneurysms and Dural Arteriovenous Fistulas; Preoperative Embolization of Brain Arteriovenous Malformation; Radiosurgery for Brain and Spinal Cord Arteriovenous and Cavernous Malformations; Intraoperative Indocyanine Green and Fluorescein Videoangiography of Brain and Spinal Cord Vascular Lesions; Index.
