Cerebral Aneurysms

1. Front Matter

   Pages I-XIV

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2. History of Aneurysm Surgery

   • F. John Gillingham

   Pages 1-4

3. Morphology and Aetiology

   • Kurt Jellinger, Stig H. M. Nyström, Jiro Suzuki, Hiro Ohara

   Pages 5-41

4. Classification

   • Hans Werner Pia, Jean Brihaye, Dwight Parkinson, Beniamino Guidetti, Laurence P. Lassman, Bernard Pertuiset et al.

   Pages 42-126

5. Distribution of Cerebral Aneurysms

   • Jiro Suzuki, Takashi Yoshimoto

   Pages 127-133

6. Clinical Pathology and Pathophysiology

   • John Stirling Meyer, Knut Kohlmeyer, Eugene s. Flamm, Joseph Ransohoff, Jiro Suzuki, Lindsay Symon

   Pages 133-169

7. Neuroradiological Diagnosis

   • Heinzgeorg Vogelsang, A. Lino Agnoli, Hans Werner Pia, Jan Zierski, Dwight Parkinson, Ekkehard Kazner et al.

   Pages 170-196

8. Conservative Treatment

   • Oskar J. Beck, Eugene S. Flamm, Joseph Ransohoff

   Pages 197-202

9. Operative Treatment

   • Jiro Suzuki, Keiji Sano, Isamu Saito, Karam Samii, Bernard Pertuiset, Paul Viars et al.

   Pages 203-407

10. Prognosis of Operative Treatment

    • F. John Gillingham, Hans Werner Pia, Jiro Suzuki, Beniamino Guidetti, Bernard Pertuiset, Keiji Sano et al.

    Pages 408-433

11. Final Comments

    • Hans Werner Pia, Jan Zierski

    Pages 434-435

12. References

    • Hans Werner Pia, Charles Langmaid, Jan Zierski

    Pages 436-464

13. Back Matter

    Pages 465-470

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Microsurgery has brought about important changes and progress in the treatment of cere­ bral aneurysms in recent years. Only 12 years ago McKissock, one of the most experienced surgeons in the treatment of aneurysms pompared the results of operative and nonoperative treatment. He found that mortality and morbidity of cerebral aneurysms was not significantly affected by whether the patients have been operated upon or not. This view is held by many neursurgeons, and was confirmed by results of the Co-operative Study in 1969. In the review on treatment of aneurysms in Progress in Neurological Surgery in 1969, techniques such as encasement with plastic compounds, piloinjection, stereotactic copper or electric thrombosis and metallic thrombosis and profound hypothermia in anaesthesia were listed. In general, these techniques now seem to be of little more than historical interest. Progress in recent yeats has been so enormous that one may perhaps gain the impreSSion that the main problems in the treatment of aneurysms have been solved and that there are no more to be surmounted. This is dangerous and complacent thinking, such as Lord Moynihan indulged in during the thirties. For this reason we thought that the time had come to assemble a group of experts who could discuss the various unsolved and contro­ versial problems of aneurysm surgery in the friendly and relaxed atmosphere of a "work­ shop".

• Surgery
• anesthesia
• diagnosis
• mortality
• therapy

• Neurochirurgischen Universitäts-Klinik, Giessen, Germany

  Hans Werner Pia, Jan Zierski

• Cardiff, Great Britain

  Charles Langmaid

Policies and ethics