Neurosurgical Management of Aneurysmal Subarachnoid Haemorrhage

1. Front Matter

   Pages i-vii

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2. A Tribute to Helge Nornes

   • Iver A. Langmoen, Tryggve Lundar

   Pages 1-5

3. Intracranial Aneurysms and Subarachnoid Hemorrhage Management of the Poor Grade Patient

   • P. D. Le Roux, H. R. Winn

   Pages 7-26

4. Etiology of Cerebral Vasospasm

   • Bryce Weir, R. Loch Macdonald, M. Stoodley

   Pages 27-46

5. Hemodynamics of Cerebrovascular Spasm

   • R. Aaslid

   Pages 47-57

6. The Role of Transcranial Doppler in the Management of Patients with Subarachnoid Haemorrhage — a Review

   • K.-F. Lindegaard

   Pages 59-71

7. Neurointensive Care of Aneurysmal SAH

   • Lennart Persson, P. Enblad

   Pages 73-80

8. Virtues and Drawbacks of Titanium Alloy Aneurysm Clips

   • H.-J. Steiger, J. J. L. van Loon

   Pages 81-88

9. A Combined Transorbital-Transclinoid and Transsylvian Approach to Carotid-Ophthalmic Aneurysms Without Retraction of the Brain

   • V. V. Dolenc

   Pages 89-97

10. Extradural Approach to Intracavernous ICA Aneurysms

    • V. V. Dolenc

    Pages 99-106

11. Surgical Treatment of Anterior Circulation Aneurysms

    • Iver A. Langmoen, K. Ekseth, E. Hauglie-Hanssen, H. Nornes

    Pages 107-121

12. Posterior Circulation Aneurysms

    • Y. Yonekawa, Y. Kaku, H. G. Imhof, M. Kiss, M. Curcic, E. Taub et al.

    Pages 123-140

13. Surgical Strategies for Giant Intracranial Aneurysms

    • M. T. Lawton, Robert F. Spetzler

    Pages 141-156

14. Functional Outcome After Aneurysmal Subarachnoid Hemorrhage

    • B. O. Hütter, I. Kreitschmann-Andermahr, L. Mayfrank, V. Rohde, U. Spetzger, J. M. Gilsbach

    Pages 157-174

15. Back Matter

    Pages 175-181

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The small neck of the aneurysm afforded an easy surgical attack. An ordinary flat silver clip was placed over the sac and tightly compressed obliterated it completely. The clip was flush with the wall of the carotid artery. The sac, lateral to the silver clip, was then picked up with the forceps and thrombosed by the electocautery. Walter Dandy reporting his successful operation of a posterior communicating aneurysm on March 23, 1937. Walter Dandy's patient left the hospital in good health 2 weeks later, and from his report one may gain the impression that the operation was an easy task. Despite continuous developments during the following decades, it was not until the introduction of the operating microscope and microsurgical techniques that surgical treatment was generally accepted. During the microsurgical era surgical results have continued to improve due to diagnostical, neuroanaesthesi­ ological, and microsurgical refinements, and improved neurointensive care. Endovascular obliteration has become an important treatment alternative but this has not been included in this particular volume. The purpose of the present supplement of the ACTA NEUROCHIRURGICA is to review some of the elements in the neurosurgical management of patients with aneurysmal subarachnoid haemorrhage that are important for a successful outcome. Professor Helge Nornes has been a major force in the development of new techniques and research strategies in this area for a number of years and has recently retired from the National Hospital in Oslo.

• Aneurysma
• Giant aneurysm
• Hirnblutung
• Neurointensiv
• Spätfolgen
• Subarachnoidalblutung
• Trankranieller Doppler
• Vasospasmus
• cavernous sinus
• diagnosis
• long-term follow-up
• transcranial doppler
• vasospasm

"This supplement to Acta Neurochirurgica ... is a slim but comprehensive, up-to-date, and excellent volume ... This is a well-made book, well worth its price, on high quality paper, with excellent radiographic images ... Neurosurgeons with a special interest in aneurysms as well as residents-in-training will find this book very useful, and it should be part of every library serving an academic neurosurgical program. The Canadian Journal of Neurological Sciences, 22. 3. 2000 "... this is an excellent book summarizing the actual pathophysiology, the neurosurgical treatment as well as the intensive care of patients with aneurysmal SAH ... This book should be on the shelf of all neurosurgeons and is certainly very helpful for intensivists dealing with this disease.” Intensive Care Medicine, 1999/25

• Department of Neurosurgery, Karolinska Hospital, Stockholm, Sweden

  Iver A. Langmoen

• Department of Neurosurgery, Rikshospitalet, The National Hospital, Oslo, Norway

  Tryggve Lundar

• Department of Neurological Surgery, Harborview Medical Center, Seattle, USA

  Rune Aaslid

• Department of Neurosurgery, Klinikum Großhadern, Munich, Germany

  Hans-J. Reulen

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