Neurosurgery clinics of North America
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The accurate diagnosis of acute ischemic stroke is possible using clinical skills and diagnostic tools that are familiar to all neurosurgeons. Avoidance of immediate complications relies on the fundamentals of critical care. ⋯ Surgical treatment in a small number of ischemic stroke patients can be lifesaving and may afford reasonable functional recovery. This article discusses typical clinical presentations and differential diagnosis, diagnostic imaging for ischemic stroke, and possible treatments.
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Neurosurg. Clin. N. Am. · Apr 2000
ReviewSurgical treatment of nonatherosclerotic lesions of the extracranial carotid artery.
Nonatherosclerotic disorders of the extracranial carotid artery, such as dissections, aneurysms, and carotid body tumors, are diverse in their causes, presentations, and modes of treatment. The surgical treatment of these lesions often will require a higher exposure of the extracranial carotid than is typical for a carotid endarterectomy. The prevention of perioperative ischemic injury assumes a major role in determining the surgical strategy for treating these lesions. This article offers a brief description of several of these disorders, a review of the general surgical approach to the high cervical artery, and a brief description of lesion-specific surgical techniques.
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Neurosurg. Clin. N. Am. · Jan 2000
ReviewEndovascular management of patients with cerebral arteriovenous malformations.
The endovascular management of brain arteriovenous malformations (AVMs) is a part of the therapeutic AVM strategy. In selected cases, endovascular therapy may lead to a total and permanent cure, but in most cases it will be an adjunctive therapy to microsurgery or radiosurgery. Embolization of brain AVMs is still a technical challenge that requires experience and skill on the part of the physician and requires a further improvement of tools, but it has made brain AVMs curable.
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Neurosurg. Clin. N. Am. · Apr 1999
Review Clinical TrialThe treatment of movement disorders using Gamma Knife stereotactic radiosurgery.
In this era of modern neurosurgery, we are able to provide adequate amelioration of disabling symptoms for the small subset of patients who have conditions that may make them unacceptable candidates for invasive stereotactic neurosurgical intervention. Gamma Knife radiosurgical thalamotomy is an effective and useful alternative to invasive radiofrequency techniques for patients at high surgical risk. The mechanical accuracy of the gamma unit combined with the anatomical accuracy of high-resolution magnetic resonance imaging makes radiosurgical lesioning safe and precise.