Full Description
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: the management of unruptured cerebral aneurysms as a preventive medicine; and, 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.
Contents
I: Management of Unruptured Aneurysms.- Treatment of Unruptured Cerebral Aneurysms - A Multi-Center Study of Japanese National Hospitals.- Treatment of Incidental Unruptured Aneurysms.- The Treatment of Symptomatic Unruptured Aneurysms.- Importance of Prospective Studies for Deciding on a Therapeutic Guideline for Unruptured Cerebral Aneurysm.- Natural History of Unruptured Intracranial Aneurysms: Risks for Aneurysm Formation, Growth, and Rupture.- Is the Rupture of Cerebral Berry Aneurysms Influenced by the Perianeurysmal Environment?.- Surgical Prognosis of Unruptured Cerebral Aneurysms. Report of 40 Cases in University Hospital Zurich.- Endovascular Coiling Compared with Surgical Clipping for the Treatment of Unruptured Middle Cerebral Artery Aneurysms: An Update.- Clinical Manifestations, Character of Aneurysms, and Surgical Results for Unruptured Cerebral Aneurysms Presenting with Ophthalmic Symptoms.- Clinical Outcome after Surgery of Intracranial Unruptured Aneurysms: Results of a Series Between 1991 and 2001.- Radiation-Induced Cerebral Aneurysm Successfully Treated with Endovascular Coil Embolization.- II: Treatment of Subarachnoid Haemorrhage and General Considerations.- Surgery and Outcome for Aneurysmal Subarachnoid Hemorrhage in Elderly Patients.- Clinical Outcome Following Ultra-Early Operation for Patients with Intracerebral Hematoma from Aneurysm Rupture - Focussing on the Massive Intra-Sylvian Type of Subarachnoid Hemorrhage.- Presentation and Management of Patients with Initial Negative 4-Vessel Cerebral Angiography in Subarachnoid Hemorrhage.- Neurological and Neuropsychological Outcome after SAH.- New Methods for Monitoring Cerebral Oxygenation and Hemodynamics in Patients with Subarachnoid Hemorrhage.- Role of Hypothermia in the Management of Severe Cases of Subarachnoid Hemorrhage.- Endovascular Aneurysm Treatment from the Neurosurgeon's Point of View.- Strategies for Surgical Management of Cerebral Aneurysms of Special Location, Size and Form - Approach, Technique and Monitoring.- Author Index.- Index of Keywords.
