Titlebook: Neurovascular Surgery; Surgical Approaches Julius July,Eka J. Wahjoepramono Textbook‘‘‘‘‘‘‘‘ 2019 The Editor(s) (if applicable) and The Au

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Dissection of Extended Middle Fossa and Anterior Petrosectomy Approachl base of surgery. This approach is commonly used for exposing lateral wall of the cavernous sinus, to resect anterior petrous bone or to open the internal auditory canal. The MF surgery will be utilized for excision of intracanalicular acoustic neuromas, petrous and infracavernous chordomas, trigem

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Surgery of Posterior Communicating Artery Aneurysm5–25% of all intracranial aneurysm [1, 2]. If the aneurysm neck arises along the PCoA itself, it’s called “true” PCoA aneurysm, and this accounts more or less 1.3% of all intracranial aneurysm and 6.8% of all PCoA aneurysm [3].

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Surgery of Paraclinoid Aneurysmal to the posterior communicating artery (PCoA), which means both ophthalmic and clinoidal segments of the ICA. Patients with these aneurysms present with retro-orbital or supraorbital pain and varying degrees of visual field constriction and/or visual acuity decline which is associated with compres

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Surgery of Anterior Communicating Artery Aneurysmsour latest case series of unruptured aneurysms coming second only after middle cerebral artery aneurysms (69 cases) [1]. In case series of ruptured aneurysms, the incidence is higher, and around 30–40% of all intracranial aneurysms are located in the AcomA region. Their presentation with subarachnoi

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Surgery of Middle Cerebral Artery (MCA) Aneurysmd relative wide neck, therefore it is usually selected to operate directly. The surgery of MCA aneurysm is basic and good case for young neurosurgeons. However, there are some tips and pitfalls in the surgery of MCA aneurysm. Preoperative simulation using 3D CT angiography is useful for avoiding the

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Surgery of Upper Basilar Artery Aneurysm junction, BA-superior cerebellar artery junction, and BA tip. Upper BA aneurysm is usually considered to include BA tip aneurysm and BA-superior cerebellar artery junction aneurysm. BA aneurysm seldom manifests as neurological problems before rupture. Partially thrombosed BA aneurysm may manifest a

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