Vascular Neurosurgery

Abstract

This chapter reviews a variety of neurovascular conditions including aneurysmal subarachnoid hemorrhage, arteriovenous malformation of the brain, intracerebral hemorrhage, spinal dural arteriovenous fistula, carotid stenosis, and decompressive craniectomy for malignant middle cerebral artery infarction. Emphasis is placed on the considerations for surgical management. Decisions on treatment need to be based on an understanding of the natural history of the disease process, possible alternative treatment options, and the potential risks and benefits of a chosen procedure. The general management aspects concerning these conditions are also discussed. These six case studies review the important features of the medical history, imaging, medications, surgical, and endovascular treatments associated with the specific condition. Findings from key neurovascular studies are incorporated into the discussion of each case.