Benefit from the expertise of world-renowned neurosurgeons, who share their strategies for managing a wide range of cerebral and spinal conditions involving vascular and tumor pathology. Presented in a case format, the book details problems, history, surgical tactics, procedures, and postoperative course, followed by a valuable section of comments from the experts. You will find insights on such complex procedures as clipping of giant intracranial aneurysms, removal of brain stem tumors, bypass surgery with radial artery graft and more. The resulting work is a compilation that explains some of the most difficult clinical problems in the field while enhancing your ability to treat more routine cases.

By turning their talents to the toughest cases, Dr. Kobayashi and his colleagues have created a reference that is certain to advance the practice of neurosurgery at every level, with treatments that are more accurate, less invasive, and safe.

Case 1 Multiple Paradinoid Aneurysms of the Internal Carotid Artery
Case 2 Multiple Aneurysms Treated via Frontal Interhemispheric Approach
Case 3 Surgical Management of a Challenging Giant Paradinoid Aneurysm
Case 4 Giant Aneurysm of the Subclinoidal [Anterior Genu) ICA Treated with Aneurysm Resection and Reconstruction of ICA with Venous Patch
Case 5 Giant Intracavernous Aneurysm and Carotid Ophthalmic Aneurysm
Case 6 Giant Internal Carotid Artery-Superior Flypophyseal Artery Aneurysm
Case 7 An Internal Carotid Artery Giant Aneurysm Presenting Regrowth after Neck Clipping
Case 8 Emergency Recanalization of the Inferior M<sub>2<ysub> Trunk by Arteriotomy and Retrieval of Migrated Guglielmi Detachable Coil, and Clipping of Superior Wall Aneurysm of Proximal Internal Carotid Artery
Case 9 Large Aneurysm of the Internal Carotid Artery Obliterated with Seven Fenestrated Clips under Intraoperative Monitoring of Anterior Choroidal Arterial Blood Flow Insufficiency
Case 10 Giant Anterior Communicating Artery Aneurysm Complicated by Visual Deterioration after Coiling
Case 11 Giant Fusiform Aneurysm of the Middle Cerebral Artery
Case 12 Treatment of a Difficult MCA Aneurysm
Case 13 Subtemporal Approach to a Basilar Bfurcation Aneurysm with Failed Surgery
Case 14 An Extremely High-Positioned Giant Basilar Top Aneurysm Operated via Infratemporal Approach
Case 15 Backward-Projecting, Ruptured Basilar Bfurcation Aneurysm Combined with Hypoplasia of the Internal Carotid Artery
Case 16 Management of a Giant Midbasilar Artery Fusform Aneurysm
Case 17 Basilar Trunk Aneurysm-Retrolabyrinthine Approach
Case 18 Combined Endovascular and Surgical Treatment of a Large Basilar Trunk Aneurysm in a Child
Case 19 Partially Thrombosed Giant Dissecting Aneurysm of the Vertebral Artery Treatment Strategies
Case 20 Collateralization via Vasa Vasorum: A Determinant of Therapeutic Efficacy of Coil Embolization of the Thrombosed Giant Aneurysm of the Vertebral Artery
Case 21 Contralateral Approach fora Large Thrombosed Aneurysm of the Vertebral Artery
Case 22 Giant Anterior Inferior Cerebellar Artery Aneurysm in a 6-Year-Old Boy Treated with Flypothermic Cardiac Arrest
Case 23 Occipital Artery-Superior Cerebellar Artery Bypass [Paramedian Supracerebellar Approach) for Vertebrobasilar TIAs Due to a Severe Basilar Artery Stenosis
Case 24 A Case of Right Carotid Endarterectomy and Axilloaxillary Bypass for Symptomatic Carotid Stenosis with Innominate Artery Occlusion
Case 25 A Case of Carotid Artery Reconstruction
Case 26 A Large Cerebellopontine Angle Arteriovenous Mafomnation
Case 27 Retrograde Venous Thrombosis after Excision of a Cerebral Arteriovenous Mafomnation
Case 28 Dominant Flemisphere Insular Tumor
Case 29 Surgical Removal of Pilocytic Astrocytoma from Brain Stem and Thalamus
Case 30 A Large Ependymoma with Intratumoral Flemorrhage in the Medulla Oblongata
Case 31 Angiomatous Acoustic Neuroma
Case 32 Total Removal of a Large Vestibular Schwannoma with Flearing Preservation
Case 33 Removal of Vestibular Schwannoma in the Internal Auditory Canal with the Aid of Neuroendoscopy
Case 34 Large Trigeminal Neurinoma
Case 35 Combined Cranioorbital Zygomatic and Petrosal Approach fora Giant Retrochiasmatic Craniopharynigoma
Case 36 Oticocondylar Transpetrosal Approach [an Extensive Middle Fossa Approach) for Radical Removal of a Large Calcified Craniopharyngioma
Case 37 A Case of Midline Suprasellar Tumor Removed by an Extended Transsphenoidal Skull Base Technique
Case 38 Total Removal of a Recurrent Craniopharyngioma
Case 39 Subarachnoid Flemorrhage with Bilateral Aneurysms and Apoplexy of Pituitary Macroadenoma
Case 40 Giant Nonsecreting Pituitary Adenoma
Case 41 Olfactory Neuroblastoma with Brain Invasion
Case 42 Giant Olfactory Groove Meningioma
Case 43 Supraorbital Keyhole Craniotomy for Frontobasal Meningiomas
Case 44 Giant Skull Base Meningioma Invading Carotid Artery
Case 45 Clinoidal Meningioma Encasing the Internal Carotid Artery
Case 46 Visual Improvement in a Clinoidal Meningioma Extending into the Optic Canal
Case 47 Huge Falx Meningioma Removed by Using End-to-End Anastomosis of the Superficial Cortical Vein for Obtaining a Wide Operative Field
Case 48 Meningioma of the Petrous and Clival Region
Case 49 Radical Total Resection of a Giant Petroclival Meningioma
Case 50 A Large Petroclival Meningioma with a Fibrous Capsule
Case 51 Large Meningioma of the Jugular Tubercle and Foramen Magnum
Case 52 Surgical Removal of a Giant Meningeal Hemangiopericytoma
Case 53 Approach to Lesions in and around the Cavernous Sinus: A Formidable Challenge
Case 54 Extensive Intra-extraduraI Chordoma of the Whole Clivus
Case 55 Management of an Extensive Recurrent Clivus Chordoma
Case 56 Chordoma
Case 57 Huge Chondrosarcoma in the Skull Base
Case 58 A Case of Unusual Giant and Complex Bfrontal Cavernoma
Case 59 Cerebral Peduncle Cavernoma with Recurrent Hemorrhage
Case 60 A Case of Cavernous Hemangioma in the Brachium Pontis
Case 61 Cavernous Angioma in the Medulla Oblongata with Venous Mafomnation
Case 62 Intramedullary Spinal Arteriovenous Mafomnation
Case 63 Large Intradural-Extramedullary Cervical Spine Tumor
Case 64 Spinal Meningioma
Case 65 A Case of Complex Chordoma of the Mid and Upper Cervical Spine in an 11-Year-Old
Case 66 Intraosseous Tumor of the Cervical Spine
Case 67 Osteolytic Tumor of the Th2 Vertebral Body, Causing Progressive Paraparesis in a 19-Year-Old
Case 68 C2 over C3 Spondyloptosis in a Case with Absent Posterior Elements of Axis
Case 69 Rasmussen’s Encephalitis Causing Epilepsy Partialis Continua
Case 70 Fibrous Dysplasia of the Paranasal Sinuses and Anterior Cranial Base
Case 71 The Posterior Cerebral Artery-Vertebral Artery Bypass Using Radial Artery Graft for Complex Aneurysms and Severe Occlusive Diseases of the Basilar Artery