Zhurnal voprosy neĭrokhirurgii imeni N. N. Burdenko
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Zh Vopr Neirokhir Im N N Burdenko · Oct 2008
[Cerebrospinal fluid dynamics in chronic obstructive hydrocephalus before and after successful endoscopic third ventriculostomy].
to describe cerebrospinal fluid dynamics in chronic obstructive hydrocephalus before and after successful endoscopic third ventriculostomy (ETV). ⋯ Effect of ETV in chronic obstructive hydrocephalus cannot be explained exclusively by its influence on ICP0; clinical improvement can possibly be attributed also to normalization of ICP90 and Rcsf, reduction of intracranial elastance and increase of cerebral blood flow reserve capabilities. There may be a pathophysiological ground for ETV in obstructive hydrocephalus with normal ICP.
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Zh Vopr Neirokhir Im N N Burdenko · Oct 2008
[Direct carotid-cavernous fistulas: clinical presentation, angioarchitectonics and endovascular management].
Since 1992 till 2007 233 male and 125 female patients (total--358) with direct carotid-cavernous fistulas (CCF) were operated. Mean age was 36.3 years. 88.5% of all cases were traumatic, 10.6% spontaneous, 0.3% congenital and 0.6% iatrogenic. CCF occlusion was performed via arterial, venous and combined endovascular approaches using balloon-catheters, coils and stents. ⋯ Transarterial endovascular occlusion is treatment of choice in management of CCF. Modern endovascular techniques allowed significant advances in effectiveness of endovascular treatment of CCF. The problem of development and treatment of pseudoaneurysms after balloon occlusion of CCF claims for separate detailed analysis.
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Zh Vopr Neirokhir Im N N Burdenko · Oct 2008
[Microsurgical treatment of partially thrombosed giant cerebral aneurysms--technique of endoaneurysmal thrombectomy].
Surgical technique of endoaneurysmal thrombectomy in microsurgical treatment of giant partially thrombosed cerebral aneurysms is described. The suggested method implies removal of thrombotic masses using the same technique as in endarterectomy. The goal of this manipulation is clipping of aneurysm neck with reconstruction of affected artery during a shortened time. ⋯ Authors applied this technique in 9 patients with giant partially thrombosed aneurysm of different localization. Bloodflow cessation period varied from 4 to 12 minutes (mean--6 minutes), which was significantly shorter than in thrombectomy using CUSA. No mortality and ischemic complications were observed in our series.
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Zh Vopr Neirokhir Im N N Burdenko · Oct 2008
[Extended endoscopic endonasal transsphenoidal approaches in skull base surgery].
The article deals with endoscopic endonasal transsphenoidal surgery, which has gained great interest among the modem trends of neurosurgery. Application of extended endoscopic endonasal transsphenoidal approaches significantly advances capabilities of transsphenoidal surgery. Pituitary adenomas and some other sellar tumors which traditionally require transcranial procedure now can be removed via endonasal route. The article describes several types of extended endoscopic endonasal transsphenoidal approaches.