Neurovascular Surgery

Dr. Robert Spetzler is a world-renowned neurosurgeon who specializes in cerebrovascular disease and skull base tumors. He has been involved in pioneering the technique of hypothermia and cardiac arrest for the treatment of difficult brain lesions. He has been honored many times by professional societies, including the American College of Surgeons and the Congress of Neurological Surgeons. In 1994 Dr. Spetzler was chosen to be the Honored Guest of Congress of Neurological Surgeons. At age 49 he was the youngest recipient of this prestigious honor. He is Director at the Barrow Neurological Institute, J. N. Harber Chair of Neurological Surgery, Chair of the Division of Neurological Surgery and Director of Neurological Research, Phoenix, Arizona.

Yashar Kalani was born in Tehran, Iran. He immigrated to the United States when he was 16 and completed high school in Mission Viejo, California. He completed a combined BS and MS at UCLA in Biochemistry and Chemistry. He next went on to complete his doctoral studies in the Department of Chemistry at the California Institute of Technology with Professor William Goddard. As a medical student at Stanford University School of Medicine he became interested in the field of stem cell biology and completed postdoctoral studies with Drs. Roel Nusse and Irv Weissman studying the role of Wnt signaling in neural stem cells at the HHMI/Institute of Stem Cell Biology and Regenerative Medicine. Upon completion of medical school he spent an additional year studying stem cell biology in Europe and United States before starting residency at the Barrow Neurological Institute.

Peter Nakaji, MD is Director of the Neurosurgery Residency Program and the Minimally Invasive Neurosurgery at the Barrow Neurological Institute. Dr. Nakaji is a general practice neurosurgeon who specializes in the treatment of complicated diseases of the brain and spine. His vascular practice includes the treatment of aneurysms, arteriovenous malformations, cavernous malformations, carotid artery disease, and brain and spinal tumors. He also maintains an active interest in the treatment of trigeminal neuralgia and Chiari malformation, among other conditions.

Part I Development, Anatomy, and Physiology of the Central Nervous System

1 Development of the Cerebrovasculature

2 Microsurgical Anatomy of the Internal Carotid and Vertebral Arteries

3 Cranial Vascular Anatomy of the Anterior Circulation

4 Cranial Vascular Anatomy of the Posterior Circulation

5 Cranial Venous Anatomy

6 Spinal Vascular Anatomy

7 Cerebrovascular Physiology

Section II Evaluation and Treatment Considerations for Neurovascular Disease

8 Neurovascular History and Examination

9 Intraoperative Evaluation of Blood Flow

10 Neuroanesthesia

11 Neuromonitoring

12 Cerebral Protection

13 Principles and Techniques of Hypothermia and Cardiac Arrest for Neurovascular Anomalies

14 Invasive and Noninvasive Imaging of the Vasculature

15 Applications of Indocyanine Green Video Angiography in Neurovascular Surgery

Section III Ischemic Stroke and Vascular Insufficiency

16 The Pathophysiology of Cerebral Ischemia

17 Medical Management of Cardiogenic Cerebral Embolism

18 Diagnosis of Brain Infarction

19 Carotid Disease

20 Carotid Endarterectomy

21 Endovascular Treatment of Carotid Stenosis

22 Medical Management of Vertebrobasilar Occlusive Disease

23 Surgical Treatment of Vertebrobasilar Insufficiency

24 Endovascular Treatment of Vertebrobasilar Insufficiency

25 Medical Management of Intracranial Athero-Occlusive Disease

26 Medical Management and Thrombolytic Therapy for Acute Ischemic Stroke

27 Current Endovascular Treatment of Acute Ischemic Stroke

28 Pathophysiology and Surgical Management of Intracerebral Hematomas

29 Medical and Endovascular Treatment of Cerebral Sinus and Venous Thrombosis

30 Spinal Cord Infarction

31 Medical, Surgical, and Endovascular Treatment of Claudication

32 Medical, Surgical, and Endovascular Treatment of Arterial Injury

33 Pituitary Apoplexy

Section IV Cerebral and Spinal Cavernous Malformations

34 Cavernous Malformations: Natural History, Epidemiology, Presentation, and Treatment Options

35 Surgical Management of Supratentorial Cavernous Malformations

36 Surgery for Brainstem Cavernous Malformations

37 Microsurgery of Intramedullary Spinal Cavernous Malformations

Section V Cerebral and Spinal Aneurysms

38 Intracranial Aneurysms

39 Subarachnoid Hemorrhage

40 Cerebral Vasospasm and Delayed Ischemic Complications Associated with Subarachnoid Hemorrhage

41 Medical Management of Subarachnoid Hemorrhage

42 Endovascular Management of Subarachnoid Hemorrhage

43 Surgical Therapies for Saccular Aneurysms of the Internal Carotid Artery

44 Endovascular Therapies for Aneurysms of the Internal Carotid Artery

45 Management Strategies for Intracavernous Aneurysms

46 Surgical Therapies for Carotid-Ophthalmic Aneurysms

47 Endovascular Treatment of Carotid-Ophthalmic Aneurysms

48 Surgical Therapies for Middle Cerebral Artery Aneurysms

49 Endovascular Therapies for Middle Cerebral Artery Aneurysms

50 Surgical Therapies for Anterior Communicating Artery Aneurysms

51 Endovascular Therapies for Anterior Communicating Artery Aneurysms

52 Surgical Therapies for Distal Anterior Cerebral Artery Aneurysms

53 Comprehensive Management of Distal Anterior Cerebral Artery Aneurysms

54 Surgical Therapies for Basilar Artery Aneurysms

55 Endovascular Therapies for Basilar Artery Aneurysms

56 Surgical Therapies for Vertebral Artery and Posterior Inferior Cerebellar Artery Aneurysms

57 Microsurgical Management of Aneurysms of the Posterior Cerebral, Superior Cerebellar, and Anterior Inferior Cerebellar Arteries

58 Endovascular Treatment of Vertebrobasilar Circulation Aneurysms

59 Infectious Intracranial Aneurysms

60 Traumatic and Dissecting Intracranial Aneurysms

61 Giant Aneurysms

62 Incidental Aneurysms

63 Flow-Diverting Stents in the Management of Complex Aneurysms

64 Aneurysms of Spinal Arteries

65 Cerebral Aneurysms: To Clip or Coil?

VI Cerebral and Spinal Arteriovenous Fistulas and Malformations

66 Cerebral Arteriovenous Malformations

67 Vascular Malformations and Epilepsy

68 Cranial Dural Arteriovenous Fistulas

69 Endovascular Treatment of Cerebral Arteriovenous Malformations

70 Supratentorial Arteriovenous Malformations

71 Posterior Fossa Arteriovenous Malformations and Dural Arteriovenous Fistulas

72 Giant Arteriovenous Malformations

73 Microsurgical Treatment of Vein of Galen Malformations

74 Endovascular Treatment of Vein of Galen Malformations

75 Presentation, Clinical Features, and Natural History of Carotid-Cavernous Sinus Fistulas

76 Endovascular Treatment for Carotid-Cavernous Sinus Fistulas

77 Endovascular Management of Intracranial Fistulas

78 Stereotactic Radiosurgery for Cranial Vascular Malformations

79 Radiosurgery for Spinal Arteriovenous Malformations

80 Surgical Management of Spinal Vascular Malformations

81 Endovascular Treatment of Spinal Arteriovenous Malformations

Section VII Disorders of Ephaptic Transmission

82 Trigeminal and Glossopharyngeal Neuralgia

83 Microvascular Decompression for Trigeminal Neuralgia: Operative Results in 2,488 Cases

84 Surgical Management of Hemifacial Spasm

VIII Vascular Considerations in the Management of Tumors

85 Embolization of Vascular Tumors

86 Microsurgical Management of Vascular Tumors

87 Microsurgical Management of Vascular Spinal Tumors

IX Surgical Approaches

88 Skull Base Approaches to the Anterior and Middle Cranial Fossa

89 Surgical Approaches to the Posterior Fossa

90 Applications of Endoscopy to Cerebrovascular Surgery

91 Keyhole Cranial Approaches for Cerebrovascular Surgery

92 Surgical Exposure of the Vertebral Artery

Section X Cerebral Revascularization

93 Bypass Surgery for Aneurysms and Tumors

94 Excimer Laser-Assisted Nonocclusive Anastomosis

95 Intracranial–Extracranial Bypass Surgery for Moyamoya Disease

96 Intracranial–Intracranial Bypass Surgery

97 Surgical Cerebral Revascularization for Ischemia

98 Posterior Circulation Bypass Surgery

99 Endovascular Cerebral Revascularization