Neurosurgery of Complex Vascular Lesions and Tumors

Graduate School of Pharmaceut. Sciences, University of Tokyo, Tokyo, Japan

Section 1: Vascular Lesions

Case 1 Multiple Paraclinoid Aneusyms of the Internal Carotid Artery

Case 2 Multiple Aneurysms Treated via Frontal Interhemispheric Approach

Case 3 Surgical Management of a Challenging Giant Paraclinoid Aneurysm

Case 4 Giant Aneurysm of the Subclinoidal (Anterior Genu) ICA Treated with Aneurysm Resection and Reconstruction of ICA with Venous Patch

Case 5 Giant Intracavernous Aneurysm and Carotid Ophthalmic Aneurysm

Case 6 Giant Internal Carotid Artery-Superior Hypophyseal Artery Aneurysm

Case 7 An Internal Carotid Artery Giant Aneurysm Presenting Regrowth after Neck Clipping

Case 8 Emergency Recanalization of the Inferior M2 Trunk by Arteriotomy and Retrieval of Migrated Guglielmi Detachable Coil, and Clipping of Superior Wall Aneurysm of Proximal Internal Carotid Artery

Case 9 Large Aneurysm of the Internal Carotid Artery Obliterated with Seven Fenestrated Clips under Intraoperative Monitoring of Anterior Choroidal Arterial Blood Flow Insufficiency

Case 10 Giant Anterior Communicating Artery Aneurysm Complicated by Visual Deterioration after Coiling

Case 11 Giant Fusiform Aneurysm of the Middle Cerebral Artery

Case 12 Treatment of Difficult MCA Aneurysm

Case 13 Subtemporal Approach to a Basilar Bifurcation Aneurysm with Failed Surgery

Case 14 An Extremely High-Positioned Giant Basilar Top Aneurysm Operated via Infratemporal Approach

Case 15 Backward-Projecting, Ruptured Basilar Bifurcation Aneurysm Combined with Hypoplasia of the Internal Carotid Artery

Case 16 Management of a Giant Midbasilar Artery Fusiform Aneurysm

Case 17 Basilar Trunk Aneurysm-Retrolabyrinthine Approach

Case 18 Combined Endovascular and Surgical Treatment of Large Basilar Trunk Aneurysm in a Child

Case 19 Partially Thrombosed Giant Dissecting Aneurysm Vertebral Artery-Treatment Strategies

Case 20 Collateralization via Vasa Vasorum: A Determinant of Therapeutic Efficacy of Coil Embolization of the Thrombosed Giant Aneurysm of the Vertebral Artery

Case 21 Contralateral Approach for a Large Thrombosed Aneurysm of the Vertebral Artery

Case 22 Giant Anterior Inferior Cerebellar Artery Aneurysm in a 6-Year-Old Boy Treated with Hypothermic Cardiac Arrest

Case 23 Occipital Artery-Superior Cerebellar Artery Bypass (Paramedian Supracerebellar Approach) for Vertebrobasilar TIAs Due to a Severe Basilar Artery Stenosis

Case 24 A Case of Right Carotid Endarterectomy and Axilloaxillary Bypass for Symptomatic Carotid Stenosis with Innominate Artery Occlusion

Case 25 A Case of Carotid Artery Reconstruction

Case 26 A Large Cerebellopontine Angle Arteriovenous Malformation

Case 27 Retrograde Venous Thrombosis after Excision of a Cerebral Arteriovenous Malformation

Section 2: Brain Tumors

Case 28 Dominant Hemisphere Insular Tumor

Case 29 Surgical Removal of Pilocytic Astrocytoma from Brain Stem and Thalamus

Case 30 A Large Ependymoma with Intratumoral Hemorrhage in the Medulla Oblongata

Case 31 Angiomatous Acoustic Neuroma

Case 32 Total Removal of a Large Vestibular Schwannoma with Hearing Preservation

Case 33 Removal of Vestibular Schwannoma in the Internal Auditory Canal with the Aid of Neuroendoscopy

Case 34 Large Trigeminal Neurinoma

Case 35 Combined Cranioorbital Zygomatic and Petrosal Approach for A Giant Retrochiasmatic Craniopharyngioma

Case 36 Opticocondylar Transpetrosal Approach (an Extensive Middle Fossa Approach) for Radical Removal of a Large Calcified Craniopharyngioma

Case 37 A Case of Midline Suprasellar Tumor Removed by an Extended Transsphenoidal Skull Base Technique

Case 38 Total Removal of a Recurrent Craniopharyngioma

Case 39 Subarachnoid Hemorrhage with Bilateral Aneurysms and Apoplexy of Pituitary Macroadenoma

Case 40 Giant Nonsecreting Pituitary Adenoma

Case 41 Olfactory Neuroblastoma with Brain Invasion

Case 42 Giant Olfactory Groove Meningioma

Case 43 Supraorbital Keyhole Craniotomy for Frontobasal Meningiomas

Case 44 Giant Skull Base Meningioma Invading Carotid Artery

Case 45 Clinoidal Meningioma Encasing the Internal Carotid Artery

Case 46 Visual Improvement in a Clinoidal Meningioma Extending into the Optic Canal

Case 47 Huge Falx Meningioma Removed by Using End-to-End Anastomosis of the Superficial Cortical Vein for Obtaining a Wide Operative Field

Case 48 Meningioma of the Petrous and Clival Region

Case 49 Radical Total Resection of Giant Petroclival Meningioma

Case 50 A Large Petroclival Meningioma with a Fibrous Capsule

Case 51 Large Meningioma of the Jugular Tubercle and Foramen Magnum

Case 52 Surgical Removal of Giant Meningeal Hemangiopericytoma

Case 53 Approach to Lesions in and around the Cavernous Sinus: A Formidable Challenge

Case 54 Extensive Intra-extradural Chordoma of the Whole Clivus

Case 55 Management of an Extensive Recurrent Clivus Chordoma

Case 56 Chordoma

Case 57 Huge Chondrosarcoma in the Skull Base

Case 58 A Case of Unusual Giant and Complex Bifrontal Cavernoma

Case 59 Cerebral Peduncle Cavernoma with Recurrent Hemorrhage

Case 60 A Case of Cavernous Hemangioma in the Brachium Pontis

Case 61 Cavernous Angioma in the Medulla Oblongata with Venous Malformation

Section 3: Spinal Lesions

Case 62 Intramedullary Spinal Arteriovenous Malformation

Case 63 Large Intradural-Extramedullary Cervical Spine Tumor

Case 64 Spinal Meningioma

Case 65 A Case of Complex Chordoma of the Mid and Upper Cervical Spine in an 11-Year-Old

Case 66 Intraosseous Tumor of the Cervical Spine

Case 67 Osteolytic Tumor of the Th2 Vertebral Body, Causing Progressive Paraparesis in a 19-Year-Old

Case 68 C2 over C3 Spondyloptosis in a Case with Absent Posterior Elements of Axis

Section 4: Miscellaneous Lesions

Case 69 Rasmussen's Encephalitis Causing Epilepsy Partialis Continua

Case 70 Fibrous Dysplasia of the Paranasal Sinuses and Anterior Cranial Base

Case 71 The Posterior Cerebral Artery-Vertebral Artery Bypass Using Radial Artery Graft for Complex Aneurysms and Severe Occlusive Diseases of the Basilar Artery