Cerebrovascular Neurosurgery

ISBN : 9780190887728

Peter Nakaji; Michael Levitt
352 ページ
216 x 279 mm

Part of the Neurosurgery by Example series, this volume on cerebrovascular neurosurgery presents exemplary cases in which renowned authors guide readers through the assessment and planning, decision making, surgical procedure, after care, and complication management of common and uncommon disorders. The cases explore the spectrum of clinical diversity and complexity within cerebrovascular neurosurgery, including aneurysms, ischemic/occlusive disease, arteriovenous malformation, dural arteriovenous fistula, and more.
Each chapter also contains 'pivot points' that illuminate changes required to manage patients in alternate or atypical situations, and pearls for accurate diagnosis, successful treatment, and effective complication management. Containing a focused review of medical evidence and expected outcomes, Cerebrovascular Neurosurgery is appropriate for neurosurgeons who wish to learn more about a subspecialty, and those preparing for the American Board of Neurological Surgery oral examination.


1. Nonaneurysmal subarachnoid haemorrhage
2. Blister aneurysm of the internal carotid artery
3. Posterior communicating artery aneurysm presenting with and without third nerve palsy
4. Incidental anterior communicating artery aneurysm
5. Ruptured anterior communicating artery aneurysm
6. Ruptured middle cerebral artery aneurysm presenting with hematoma
7. Unruptured ophthalmic artery aneurysm presenting with vision loss
8. Small incidental internal carotid artery terminus aneurysm
9. Medium sized incidental anterior choroidal artery aneurysm
10. Giant aneurysm of the middle cerebral artery presenting with headache
11. Ruptured pericallosal artery aneurysm
12. Incidental medium-sized basilar tip aneurysm
13. Wide-necked large ruptured basilar tip aneurysm
14. Giant cavernous-segment internal carotid artery aneurysm presenting with cranial neuropathy
15. Symptomatic cervical carotid artery stenosis
16. Asymptomatic cervical carotid stenosis
17. Acute middle cerebral artery occlusion
18. Symptomatic intracranial arterial stenosis
19. Moyamoya vasculopathy presenting with transient neurological deficit
20. Cerebral venous sinus thrombosis presenting with altered mental status
21. Incidental unruptured arteriovenous malformation
22. Unruptured eloquent arteriovenous malformation presenting with seizure
23. Unruptured eloquent arteriovenous malformation presenting with arm weakness
24. Carotid-cavernous fistula presenting with vision loss
25. Incidental ethmoidal dural arteriovenous fistula
26. Transverse sinus arteriovenous fistula presenting with tinnitus
27. Large temporal/insular cavernous malformation presenting with headaches
28. Small cavernous malformation presenting with medically refractory epilepsy
29. Ruptured brainstem cavernous malformation
30. Spinal dural arteriovenous fistula presenting with myelopathy
31. Ruptured spinal arteriovenous malformation
32. Ruptured conus medullaris arrteriovenous malformation


Peter Nakaji, MD, is Professor of Neurosurgery at the Barrow Neurological Institute (BNI) in Phoenix, Arizona, where he serves as the program director of the neurosurgery residency program. Dr. Nakaji specializes in cerebrovascular, skull base, and minimally invasive and endoscopic cranial surgery. His special surgical interest is in constantly improving the technical aspects of neurosurgery to improve patient outcomes. Michael R. Levitt, MD, is a board-certified neurosurgeon at the Neurological Surgery Clinic and Cerebrovascular Lab at Harborview Medical Center and the University of Washington. Dr. Levitt is Assistant Professor of Neurological Surgery and Radiology, an adjunct Assistant Professor of Mechanical Engineering, and the scientific director of the Stroke and Applied Neuroscience Center at the University of Washington.