Nine patients with giant internal carotid artery (ICA) aneurysms (greater than 2.5 cm in diameter) were subjected to a combined extracranial-intracranial (EC-IC) bypass procedure and endovascular ICA occlusion during 1987 1988. The procedures performed under one anesthetic. In all cases the collateral circulation had been judged insufficient on basis of strict preoperative testing protocol including: cerebral panangiography, electroencephalography, somatosensory potential recording, blood...

According to the order of April 15, 1935, opening Department Neurosurgery, first head which was Nikolai N. Burdenko, laid foundation for development neurosurgical activity and training personnel in USSR within walls Russian Medical Academy Sciences (TsIUV). N.N. Burdenko an outstanding Soviet surgeon, one founders neurosurgery, academician (1939) (1944-1946), Hero Socialist Labor, honorary member British Royal Society Surgeons Paris Surgery, Colonel General Service.

The progress in surgical treatment of intracranial aneurysms is based on the introduction modern minimally invasive techniques. Among variety keyhole approaches, supraorbital craniotomy most often used anterior circle willis aneurysms. authors present preliminary results application for 27 patients. Most patients had unruptured (18 patients). Nine SAH, and 4 them were operated acute period. patients' condition was assessed as a grade 1-2 (Hunt-Hess scale) 1-3 (Fisher scale). There no...

Background: The evolution of skull base approaches associated with individualization surgical corridor and minimizing the collateral damage. Achieving radical removal tumor preserving neurological status patient is possible, both traditional keyhole approaches. Our work presents experience using transpalpebral approach (TPA) for microsurgical tuberculum sellae meningioma (TSM). Materials Methods: A total 15 patients meningiomas underwent TSM through TPA. Ten were women five men. standard...

Progress in microneurosurgical techniques, neuroanesthesiology, and intraoperative imaging enables surgery using small incisions craniotomy, accordance with the keyhole concept. Supraorbital craniotomy is most widespread minimally invasive approach. There are a number of supraorbital modifications, regarding different soft tissue extent craniotomy. We present first results mini-orbitozygomatic for aneurysms anterior circle Willis space-occupying lesions middle cranial fossae performed...

One of the significant events in aneurysm surgery was promotion a microneurosurgical technique by G. Yasargil. Despite its versatility, pterional craniotomy is associated with extensive osteotomy and incision skin temporal muscle, which may lead to adverse cosmetic effects, risk temporomandibular joint dysfunction, injury frontal branch facial nerve, scalp numbness. We present our experience minipterional for anterior circle Willis aneurysms 40 patients. There were no serious complications...

Background. Brain aneurysms are found in 1-2% of population and cause subarachnoid hemorrhage (SAH) 80-85% cases. In recent decades, the incidence unruptured has increased due to widespread availability CT MRI. Microsurgery is still essential treatment cerebral aneurysms. OBJECTIVE To assess effectiveness safety minimally invasive approaches microsurgical brain comparison with traditional approaches, clarify indications contraindications for approaches. MATERIAL AND METHODS There were 394...

Cerebral aneurysms are diagnosed in 1-5% of people and cause 80-85% subarachnoid hemorrhages (SAH). Aneurysmal more common aged 30-50 years causing high socio-economic significance this disease. Therefore, the outcomes microsurgical clipping an urgent problem these patients.

The concept of minimally invasive neurosurgery has significantly evolved in recent years, which is associated with improvements diagnostics, microneurosurgical techniques, anesthesiology, and intraoperative imaging.We present the preliminary results using transpalpebral craniotomy surgery supratentorial aneurysms anterior cranial fossa tumors. In period between 2015 2107, we used this approach surgical treatment 30 (10 'cold' hemorrhage 20 unruptured aneurysms) 10 base included a superior...

Background . Priority objectives of surgical neurooncology (diagnosis verification, tumor cytoreduction, and preservation patient’s functional status) can be achieved both through traditional neurosurgical approaches the use keyhole surgery. Keyhole surgery allows to minimize unnecessary, extended resection skull base long-term static brain tissue retraction. Objective The authors present preliminary results supraorbital craniotomy in intra- extra-axial tumors. Materials methods. In...

The last decades in neurosurgery have been marked by the rapid development of minimally invasive techniques, including use concept keyhole/burrhole surgery and active introduction endoscopic techniques. These alternatives to traditional approaches minimized concomitant injury tissues brain improved functional cosmetic outcomes. Endoscopic assistance keyhole approaches, along with its seems even more reasonable because field microscopic view is considerably limited case a mini-approach.We...

Background: Fusiform aneurysms (FA) of the anterior cerebral artery (ACA) are found rarely. The common clinical presentation is a subarachnoid hemorrhage (SAH). Surgery main treatment to prevent rebleeding. Case Description: authors present case report ruptured FA ACA. presented demonstrates successful microsurgical clipping fusiform ACA aneurysm. Conclusion: A1-segment can lead SAH with poor prognosis. goal surgical Direct one options.

Cavernous malformation (cm) of the optic nerve is a rare condition It clinically presented by so-called chiasmal apoplexy. Microsurgical removal cavernous method choice.Authors present clinical case left nerve.The demonstrates successful CM from lateral supraorbital access. In postoperative period, visual disorders did not worsen. Control MRI brain showed total cavernoma.Presented radical nerve. Early and correct diagnosis makes it possible to adequately treat patient preserve his/her...

Objective. The study objective was to compare the effects of minimally invasive and traditional surgical approaches for treating patients with unruptured intracranial aneurysms (UIAs) assess efficacy safety keyhole concept in neurosurgery. Material methods. We made a comparison microsurgical treatment outcomes 204 harbouring UIAs who were operated on period from 2014 2019. Patients divided into two groups: using approach (n = 85, 41.7%) 119, 58.3%). first group pterional 31), orbitozygomatic...

Acute subdural hematoma caused by cerebral aneurysm rupture is rare. We describe a clinical case of an acute developed due to at the M1 segment bifurcation middle artery (MCA). The associated with intracranial hypertension and transtentorial herniation resulted in comatose condition. patient underwent decompressive craniectomy, removal, clipping aneurysm. A significant improvement was observed postoperative period. discharged mild hemiparesis moderate paresis oculomotor nerve. This...

The study objective is to generalize the basic principles of individual preoperative planning in surgery extra- and intraaxial brain tumors frontal lobe anterior cranial fossa via eyebrow supraorbital keyhole approach. Materials methods. In 2014–2018, we treated 40 patients with different (meningiomas, gliomas, metastasis) through an craniotomy (in F.I. Inozemtsev City Clinical Hospital, Moscow Healthcare Department). Computed tomography magnetic resonance imaging enhancement were performed...