Description
With the Assistance of Kobayashi, S. I General Considerations.- 1 Patients Position.- 2 Skin Incision and Bone Flap.- 3 Retraction of the Brain.- 4 Preservation of Bridging Veins.- II Instrumentation.- 1 Operating Microscope.- 2 Operating Chair.- 3 Operating Table.- 4 Instrument Table.- 5 Head Frame and Multipurpose Head Frame.- 6 Self-Retaining Retractor and Tapered Brain Retractor (Spatula).- 7 Bipolar Forceps.- 8 Suction.- 9 Silver Dissector.- 10 Four-Pronged Hook.- 11 Cotton Patty.- 12 Microscope Sterilization.- III Aneurysm.- General Considerations in Surgery of Aneurysms.- A Aneurysms of the Anterior Circle of Willis.- 1 Carotid Artery Aneurysm.- Case 1 Ophthalmic Artery Aneurysm: Optic Nerve Retraction (rt).- Case 2 Triple Aneurysm (rt).- Case 3 Carotid Bifurcation Aneurysm (rt).- Case 4 Medially Projecting Aneurysm: Clipping and Puncture (rt).- Case 5 Ventrally Protruding Aneurysm Obliterated with Ring Clip (lt).- Case 6 Aneurysm with Trigeminal Neuralgia (rt).- Case 7 Wide-Necked Aneurysm Obliterated with Two Ring Clips (lt).- Case 8 Large Aneurysm Obliterated with Two Ring Clips (lt).- Case 9 Large Aneurysm Obliterated with Three Clips (rt).- 2 Middle Cerebral Artery Aneurysm.- Case 10 Large Aneurysm Obliterated with Two Clips (rt).- Case 11 Giant Aneurysm Obliterated with Two Long Clips (lt).- Case 12 Large Aneurysm: Body Clipping (lt).- Case 13 Dilatation of the Trifurcation: Clipping and Wrapping (lt).- Case 14 Giant Aneurysm: Clipping and Removal (rt).- 3 Anterior Communicating Artery Aneurysm.- Case 15 Direct Retraction of Body (rt).- Case 16 Temporary Clipping (rt).- Case 17 Double Clipping: Clip Blade Covered with Silastic Tube (rt).- Case 18 Double Clipping (rt).- Case 19 Two Cases with Ring Clip (lt).- Case 20 Giant Aneurysm (lt).- 4 Distal Anterior Cerebral Artery Aneurysm.- General Considerations.- Case 21 Prevention of Narrowing of the Parent Artery (Two Clips) (rt).- Case 22 Prevention of Narrowing of the Parent Artery (Three Clips) (rt).- Case 23 Large Aneurysm (Two Clips) (rt).- B Aneurysms of the Posterior Circle of Willis.- General Considerations for Basilar Artery Aneurysms.- 1 Basilar Bifurcation Aneurysm.- Case 24 Anteriorly Projecting Aneurysm (rt).- Case 25 Retraction of Three Arteries (rt).- Case 26 Clipping Between Perforators (rt).- Case 27 Application of Straight Ring Clip (rt).- Case 28 Clipping Through the Opticocarotid Space (rt).- Case 29 Puncture of Body (rt).- Case 30 Unclipped Aneurysms (rt).- 2 Basilar-Superior Cerebellar Artery Aneurysm.- General Considerations.- Case 31 Double Clipping (rt).- Case 32 Intraoperative Shortening of the Blade (rt).- Case 33 Direct Retraction of Aneurysm (lt).- Case 34 Approach Above the Carotid Artery Bifurcation (rt).- Case 35 Unclipped Aneurysm with Bilateral Approach.- Case 36 Distal Superior Cerebellar Artery Aneurysm (lt).- 3 Proximal Posterior Cerebral Artery (P1) Aneurysm.- Case 37 Trapping of P1 (rt).- Case 38 Angled Ring Clip: Associated with AVM (lt).- Case 39 Associated with Agenesis of the Carotid Artery (lt).- 4 Distal Posterior Cerebral Artery Aneurysm.- General Considerations.- Case 40 Removal of the Parahippocampal Gyrus (rt).- Case 41 Double Clipping in a Case Associated with TIA (lt).- Case 42 Giant Aneurysm: Cutting and Double Clipping (rt).- 5 Basilar Trunk Aneurysm.- Case 43 Double Aneurysm via Transsylvian Approach (rt).- Case 44 Direct Retraction of the Pons (lt).- Case 45 Vertebral Union (rt).- Case 46 Giant Aneurysm: Unclipped (rt).- 6 Vertebral Artery Aneurysm.- General Considerations.- Case 47 Bayonet Clip for a Large Aneurysm (rt).- Case 48 Clipping by Interchange of Two Clips (lt).- Case 49 Aneurysm Close to a Midline (rt).- Case 50 Aneurysm Close to a Midline (lt).- Case 51 Body Clipping (rt).- Case 52 Body Clipping (Dissecting?) (rt).- Case 53 Semifusiform Pointing Toward the Approach (lt).- Case 54 Ring Clip for Preservation of a Perforator (lt).- Case 55 Large Fusiform Aneurysm with Three Ring Clips (lt).- IV Arteriovenous Malformation.- General Considerat
