New Trends In Cerebral Aneurysm Management (acta Neurochirurgica Supplement)

The management of cerebral aneurysms is still the subject of controversy in spite of recent dramatic advances in surgical techniques and neuro-intensive care. Currently, two main topics in this field have totally different aspects: 1. the management of unruptured cerebral aneurysms as a preventive medicine and 2. neurocrutical management of severe subarachnoid hemorrhage (SAH) after the rupture. These topics were discussed during the Swiss-Japanese Joint Conference in Zurich, Switzerland, in May 2001. Selected papers from this meeting are included in this volume presenting new clinical experiences in order to find out updated and proper ways to focus the treatment and providing updated information on neurocritical care aspects as well as endovascular and surgical treatment modalities carried out in daily practice in Zurich and Japan. Front Matter....Pages I-VIII Front Matter....Pages 1-1 Treatment of Unruptured Cerebral Aneurysms — A Multi-Center Study of Japanese National Hospitals....Pages 3-10 Treatment of Incidental Unruptured Aneurysms....Pages 11-15 The Treatment of Symptomatic Unruptured Aneurysms....Pages 17-19 Importance of Prospective Studies for Deciding on a Therapeutic Guideline for Unruptured Cerebral Aneurysm....Pages 21-25 Natural History of Unruptured Intracranial Aneurysms: Risks for Aneurysm Formation, Growth, and Rupture....Pages 27-30 Is the Rupture of Cerebral Berry Aneurysms Influenced by the Perianeurysmal Environment?....Pages 31-34 Surgical Prognosis of Unruptured Cerebral Aneurysms. Report of 40 Cases in University Hospital Zurich....Pages 35-39 Endovascular Coiling Compared with Surgical Clipping for the Treatment of Unruptured Middle Cerebral Artery Aneurysms: An Update....Pages 41-46 Clinical Manifestations, Character of Aneurysms, and Surgical Results for Unruptured Cerebral Aneurysms Presenting with Ophthalmic Symptoms....Pages 47-49 Clinical Outcome after Surgery of Intracranial Unruptured Aneurysms: Results of a Series Between 1991 and 2001....Pages 51-54 Radiation-Induced Cerebral Aneurysm Successfully Treated with Endovascular Coil Embolization....Pages 55-58 Front Matter....Pages 59-59 Surgery and Outcome for Aneurysmal Subarachnoid Hemorrhage in Elderly Patients....Pages 61-64 Clinical Outcome Following Ultra-Early Operation for Patients with Intracerebral Hematoma from Aneurysm Rupture — Focussing on the Massive Intra-Sylvian Type of Subarachnoid Hemorrhage....Pages 65-69 Presentation and Management of Patients with Initial Negative 4-Vessel Cerebral Angiography in Subarachnoid Hemorrhage....Pages 71-81 Neurological and Neuropsychological Outcome after SAH....Pages 83-85 New Methods for Monitoring Cerebral Oxygenation and Hemodynamics in Patients with Subarachnoid Hemorrhage....Pages 87-92 Role of Hypothermia in the Management of Severe Cases of Subarachnoid Hemorrhage....Pages 93-98 Endovascular Aneurysm Treatment from the Neurosurgeon’s Point of View....Pages 99-103 Strategies for Surgical Management of Cerebral Aneurysms of Special Location, Size and Form — Approach, Technique and Monitoring....Pages 105-118 Back Matter....Pages 119-124