Advances in surgery for cerebral stroke : proceedings of the International Symposium on Surgery for Cerebral Stroke, Sendai, 1987

Cerebral stroke is a common and widespread phenomenon affecting a large number of the human population worldwide. Various surgical methods have been developed for its treatment and the therapeutic results have steadily improved. This is a reassuring trend that promises further progress will be made in the future. This volume contains important contributions by leading clinicians and researchers in the field to the "International Symposium on Surgery for Cerebral Stroke" held in Sendai, Japan, May 24 - 27, 1987. Front Matter....Pages i-xv Front Matter....Pages 1-1 New Brain Protective Agents and Clinical Use....Pages 3-11 Ischemic Neural Lesions in Cerebral Stroke....Pages 13-26 Future Aspects of Surgery for Cerebral Stroke....Pages 27-32 Ischemia Secondary to Atherosclerosis....Pages 33-37 Future Aspects of Surgery for Cerebral Stroke....Pages 39-47 Front Matter....Pages 49-49 Posterior Circulation Aneurysms....Pages 53-56 Surgical Management of Posterior Inferior Cerebellar Artery Aneurysms....Pages 57-61 Posterior Circulation Aneurysms....Pages 63-66 Posterior Circulation Aneurysms....Pages 67-69 Surgical Treatment of Posterior Circulating Aneurysms....Pages 71-76 Surgical Treatment of Basilar Aneurysms....Pages 77-81 Discussion....Pages 83-85 Statistical Study of Japanese Cases of Moyamoya Disease....Pages 89-94 Clinical Manifestation and Pathology of Moyamoya Disease in Northeast China....Pages 95-97 Moyamoya Disease in Beijing....Pages 99-104 Moyamoya Disease in Shanghai....Pages 105-106 Moyamoya Disease in Korea....Pages 107-109 Moyamoya Disease in Taiwan....Pages 111-114 Moyamoya Disease in Hong Kong....Pages 115-121 Moyamoya Disease in Thailand....Pages 123-124 Front Matter....Pages 49-49 Moyamoya Disease in the Philippines....Pages 125-126 Moyamoya Disease: The Australian Experience....Pages 127-128 Moyamoya Disease in South America....Pages 129-132 Long-Term Follow-up Study of STA-MCA Anastomosis and EMS in Moyamoya Disease....Pages 133-136 Encephaloduroarteriosynangiosis....Pages 137-140 Revascularization Surgery for 50 Patients with Moyamoya Disease....Pages 141-149 CBF and Metabolism in Moyamoya Disease Following Cervical Sympathectomy....Pages 151-155 Discussion....Pages 157-157 Extracranial-Intracranial Bypass Surgery....Pages 161-164 Extracranial-Intracranial Bypass for Cerebral Revascularization....Pages 165-169 Investigation of the Cerebrovascular Reserve Capacity to Identify Patients with Chronic Brain Ischemia Who May Benefit from Bypass Surgery....Pages 171-172 Bypass Surgery: Indication, Timing, and Effectiveness....Pages 173-176 Follow-up Xenon Enhanced CT-CBF Measurements in Patients Treated with STA-MCA Bypass....Pages 177-181 EC-IC Bypass As a Potent Functional Collateral Circulation....Pages 183-186 Bypass Surgery for Ischemic Cerebrovascular Disease....Pages 187-192 Discussion....Pages 193-195 Stereotactic Heavy-Particle Irradiation of Intracranial Arteriovenous Malformations....Pages 199-201 Nonsurgical Treatment for AVMs....Pages 203-206 Aneurysmal Malformation of the Vein of Galen....Pages 207-211 Interventional Radiological Techniques in Cerebral AVMs....Pages 213-214 Front Matter....Pages 49-49 Nonsurgical Treatment of AVM: Development of New Liquid Embolization Method....Pages 215-224 Discussion....Pages 225-227 Overview of Cerebral Ischemia: Rationale for Cerebral Protection....Pages 231-235 The Scientific Basis of Cerebral Infarction....Pages 237-239 Effects of Dynorphin 1−13 on Opiate Binding and Dopamine and GABA Uptake in a Cat Model of Stroke....Pages 241-246 Does Glutamatergic Excitatory Synaptic Transmission Play a Role in Ischemia?....Pages 247-249 The Possible Role of Free Radical Scavengers in the Mitigation of Ischemic Brain Damage....Pages 251-255 Biochemical Events in the Ischemic Brain and Pharmacological Basis of Mannitol, Vitamin E, Glucocorticoid, and Phenytoin....Pages 257-263 Discussion....Pages 265-266 Anterior Communicating Aneurysm: Its Surgical Approach and Result....Pages 269-273 Management of Carotid-Ophthalmic Aneurysms....Pages 275-278 Surgery for Pericallosal Aneurysms....Pages 279-283 Results of the Surgical Treatment of Anterior Circulation Aneurysms....Pages 285-289 Bifrontal Interhemispheric Approach to Aneurysms of the Anterior Communicating Artery....Pages 291-295 Discussion....Pages 297-300 Management of Supratentorial Saccular Aneurysms with Special Reference to the Timing and Results of Surgery....Pages 303-309 Indications and Timing of Surgery on Ruptured Intracranial Aneurysms....Pages 311-315 Management of Patients with Ruptured Cerebral Aneurysms....Pages 317-321 Timing and Grading in the Surgical Treatment for Aneurysm....Pages 323-328 Timing and Risk Factors in Surgery of Ruptured Cerebral Aneurysms....Pages 329-333 Front Matter....Pages 49-49 Results of Ultra-Early Surgery on Intracranial Aneurysms by the Sendai Group of Neurosurgeons....Pages 335-339 Discussion....Pages 341-343 Total Management of Cerebral Atherosclerosis....Pages 347-349 Surgical Management of Extracranial Atherosclerosis: Indications and Timming....Pages 351-354 Pitfalls During Carotid Endarterectomy....Pages 355-359 Surgical Treatment of Atherosclerotic Extracranial Lesions....Pages 361-365 Surgical Treatment of Extracranial Internal Carotid Malformations....Pages 367-371 Surgical Treatment of Extracranial Atherosclerotic Lesions....Pages 373-376 Carotid Endarterectomy without Internal Shunt in 83 Cases....Pages 377-380 Discussion....Pages 381-383 Progress in the Approach to Vasospasm....Pages 387-392 Current Topics in Cerebral Vasospasm....Pages 393-396 Preliminary Experience with the Treatment of Intracranial Vasospasm by Transvascular Balloon Angioplasty....Pages 397-398 Management of Subarachnoid Hemorrhage....Pages 399-403 Cerebral Microthrombosis, Synthesis Imbalance of TXA 2 -PGI 2 , and Subarachnoid Focal Acidosis in the Pathogenesis of Symptomatic Cerebral Vasospasm....Pages 405-410 The Therapeutic Methods for Cerebral Vasospasm....Pages 411-414 Discussion....Pages 415-416 Endoscopic Evacuation of Intracranial Hematomas....Pages 419-421 Spontaneous Intracerebral Hemorrhage....Pages 423-425 The Evolution of Our Surgical Approach in Hypertonic Hematomas....Pages 427-432 Front Matter....Pages 49-49 Aspiration Surgery for Hypertensive Brain Hemorrhage in the Acute Stage....Pages 433-441 Stereotactic Evacuation of Hypertensive Intracerebral Hematoma Using Plasminogen Activator....Pages 443-448 CT-Guided Stereotaxic Aspiration of Intracerebral Hematoma on 168 Cases....Pages 449-453 Discussion....Pages 455-458 Management of Deep-Seated Cerebral AVMs....Pages 461-465 Surgical Treatment for Deep-Seated or Large AVMs....Pages 467-474 Radical Open Surgery of Supra-Tentorial Arteriovenous Malformations....Pages 475-480 Operative Selection of Patients with Arteriovenous Malformations....Pages 481-486 Discussion on Intracranial Arteriovenous Malformations....Pages 487-488 Surgical Treatment for Deep-Seated or Large AVM....Pages 489-493 Discussion....Pages 495-497 Surgical Management of Giant Intracranial Aneurysms....Pages 501-503 Giant Aneurysms....Pages 505-511 Giant Aneurysms of the Carotid and Middle Cerebral Arteries....Pages 513-517 Surgical Management of Giant Intracranial Aneurysms....Pages 519-522 Surgical Treatment for Giant Intracranial Aneurysms....Pages 523-530 Discussion....Pages 531-533 Revascularization in the Acute Stage of Cerebral Ischemia....Pages 537-540 Revascularization in the Acute State of Cerebral Ischemia....Pages 541-544 Acute Cerebral Revascularization: Indications and Limits....Pages 545-548 Front Matter....Pages 49-49 Cerebral Revascularization....Pages 549-554 Peracute Revascularization for the Cases of Major Trunk Occlusion of Major Stroke Type....Pages 555-557 Acute Stage Revascularization Under the Administration of a New Cerebral Protective Agent, “Sendai Cocktail”....Pages 559-562 Discussion....Pages 563-565 Operative Thrombosis of Aneurysms and Fistulae....Pages 569-572 Intraoperative Metallic Thrombosis of Carotid-Cavernous Fistula....Pages 573-576 Treatment of Durai Arteriovenous Fistulae....Pages 577-581 Anatomy of the Cavernous Sinus and Durai AVM....Pages 583-587 Intravascular Neurosurgery and the Treatment of Abnormalities in the Central Nervous System....Pages 589-594 Discussion....Pages 595-597 Front Matter....Pages 599-599 Selection of Candidates for EC/IC Bypass and Evaluation of the Benefit of This Surgery Through a SPECT Study....Pages 601-604 Single Photon Emission Study of Hemodynamic Reserve in Internal Carotid Occlusions....Pages 605-607 Preoperative Evaluation and Postoperative Follow-up of Extra-Intracranial Arterial Bypass in Ischemic Cerebrovascular Disease....Pages 609-613 Effect of Preexisting STA-MCA Bypass on rCBF and SSEP’s Following Acute Stroke in Dogs....Pages 615-619 The Effect of Mannitol, Nimodipine, and Indomethacin, Singly or in Combination, on Cerebral Ischemia....Pages 621-625 Recovery of Cortical Evoked Potential and LCGU Following Transient MCA Occlusion in the Rat....Pages 627-631 Sequential Changes of Brain Metabolism During Temporary Global Ischemia in the Rat Detected by Simultaneous 1H and 31P MRS....Pages 633-637 Microsurgical Anatomy of the Posterior Clinoid Region....Pages 639-642 Acute Surgery for Ruptured Posterior Circulation Aneurysms....Pages 643-647 Long-Term Operative Results in a Series of 450 Consecutive Anterior Circulation Aneurysms....Pages 649-652 Front Matter....Pages 599-599 “Scavenger Surgery” for Prevention of Vasospasm Following Subarachnoid Hemorrhage....Pages 653-657 Treatment of Ruptured Cerebral Aneurysms in the Acute Stage....Pages 659-662 Outcome of Aggressive Aneurysm Treatment with Early Operation and Adjunct Nimodipine in a Strictly Defined Swedish Population Served by a Small Neurosurgical Unit....Pages 663-666 Clinical Examination of the Somatosensory Evoked Potential, Auditory Brainstem Response, and Electroencephalography with Ruptured Cerebral Aneurysm in the Acute Stage....Pages 667-669 Somatosensory Evoked Potential Monitoring in Aneurysm Surgery....Pages 671-674 The Role of Intraoperative Monitoring of Sensory Evoked Potentials During Cerebrovascular Surgery....Pages 675-678 Increase in Cerebral Blood Flow Produced by a Serotonin Antagonist Following Experimental Carotid Arteriotomy....Pages 679-683 Cerebral Blood Flow Monitoring in Early Stage of Subarachnoid Hemorrhage....Pages 685-689 Clinical and Experimental Studies of Leukotrienes in Subarachnoid Hemorrhage....Pages 691-695 Catecholaminergic and Peptidergic Pathways Involved in the Development of Cerebral Vasospasm Following an Experimental SAH in the Rat....Pages 697-704 Preventive Action of Cisternal Heparin Injection for Vasoconstriction After Experimental Subarachnoid Hemorrhage....Pages 705-709 Role of Prostacyclin, Thromboxane A 2 , and Leukotrienes in Experimental Cerebral Vasospasm....Pages 711-715 Topographic Peculiarity in Spastic Changes of the Cerebral Artery After Subarachnoid Hemorrhage....Pages 717-720 Surgical Indication and Approach to Deep-Seated Arteriovenous Malformation....Pages 721-725 Prediction of Postoperative Perfusion Breakthrough During Removal of High-Flow Arteriovenous Malformation....Pages 727-730 Problems in Surgical Management of Giant Intracranial Aneurysms....Pages 731-735 Sequential Imaging of Giant IC Aneurysm Following IC Ligation Combined with EC/IC Bypass....Pages 737-739 Clinical Aspects of Endovascular Treatment of Cerebral Aneurysms....Pages 741-743 Back Matter....Pages 745-751