Intracranial Aneurysms

of Volume II.- 21 Prognosis and Timing.- Nonoperative Prognosis.- Reported Operative Results.- Factors Affecting Surgical Risk.- Surgery Versus Conservative Treatment.- Incidental Intracranial Aneurysms.- Summary.- 22 Preoperative and Medical Therapy.- Routine Care.- Intracranial Pressure Control.- Other Medications and Adjuncts.- Summary.- 23 Anesthesiology. I Management.- Evaluation and Preparation.- Monitoring.- Anesthetic Agents and Techniques.- Emergency and Early Postoperative Care.- 24 Anesthesiology. II Induced Hypotension.- Early Techniques and Drugs.- Drugs in Use.- 25 Craniotomy for Aneurysm. I Control of Intracranial Pressure and Circulation.- Cerebrospinal Fluid Drainage.- Controlling Circulation.- 26 Craniotomy for Aneurysm. II Instrumentation.- External Instrumentation.- Intraoperative Instrumentation.- 27 Craniotomy for Aneurysm. III Aneurysm Clips.- Types of Clips.- Other Clip Data.- Summary.- 28 Craniotomy for Aneurysm. IV Protective Coatings.- Autogenous Tissue.- Gelatin Sponge.- Cotton.- Synthetic Coatings.- Summary.- 29 Craniotomy for Aneurysm. V Cranial Approaches.- Anterior Communicating Artery Aneurysms.- Anterior Cerebral Artery Aneurysms.- Internal Carotid Artery Aneurysms.- Middle Cerebral Artery Aneurysms.- Basilar Artery Aneurysms.- Vertebral Artery Aneurysms.- Summary.- 30 Craniotomy for Aneurysm. VI Tissue Section and Resection.- Cranial Base.- Dural Structures.- Blood Vessels.- Cranial Nerves.- Brain Tissue.- 31 Craniotomy for Aneurysm. VII Special Methods of Treating the Aneurysm.- Decompressive Craniectomy.- Cauterization of Aneurysm.- Ligation of Afferent Artery.- Trapping Procedures.- Direct Obliteration of Aneurysms.- Coating of Aneurysms.- Internal Occlusion of Aneurysms.- Stereotaxic Techniques.- Intravascular Catheter and Balloon Methods.- Extracranial-Intracranial Bypass.- Cavernous Sinus Repair.- Trigeminal Rhizotomy.- Summary.- 32 Craniotomy for Aneurysm. VIII Operative Complications and Postoperative Care.- Aneurysm Rupture at Surgery.- Postoperative Complications.- Postoperative Care.- Summary.- 33 Carotid Artery Ligation in the Neck.- Physiological Studies.- Indications.- Evaluation of Collateral Cerebral Circulation.- Methodology.- Results.- Complications.- Summary.- 34 Technique of Aneurysm Surgery. I Frontotemporal Approach.- The Flap.- Exposure of Basal Cisterns.- The Aneurysm.- 35 Technique of Aneurysm Surgery. II Anterior Communicating and Anterior Cerebral Artery Aneurysms.- Anterior Communicating Artery Aneurysms.- Anterior Cerebral Artery Aneurysms.- 36 Technique of Aneurysm Surgery. III Internal Carotid Artery Aneurysms.- Posterior Communicating Artery-Internal Carotid Artery Aneurysms.- Anterior Choroidal Artery-Internal Carotid Artery Aneurysms.- Aneurysms at the Bifurcation of the Internal Carotid Artery.- Ophthalmic Artery-Internal Carotid Artery Aneurysms.- Cavernous Sinus-Internal Carotid Artery Aneurysms.- 37 Technique of Aneurysm Surgery. IV Middle Cerebral Artery Aneurysms.- The Surgical Exposure.- 38 Technique of Aneurysm Surgery. V Basilar Artery Aneurysms.- The Surgical Exposure.- Summary.- 39 Technique of Aneurysm Surgery. VI Vertebral Artery Aneurysms.- The Surgical Exposure.