INTRACRANIAL ANEURYSMS

1. Background – i.e. biology, development, risk factors?
a. Vascular Development / Embryology
b. Biology of Aneurysm formation
c. Risk factors for aneurysm formation
d. Experimental Aneurysm Models
2. Evaluation and Management of Aneurysms and SAH
a. Imaging for intracranial aneurysms
b. Indications and benefits of surveillance for intracranial aneurysms
c. Indications and benefits of screening for intracranial aneurysms
d. Workup of SAH
e. Natural history and evaluation of SAH of unknown cause
f. Medical and ICU management of SAH
g. Vasospasm: physiology, prevention and management
3. Surgical techniques
a. Technical principles of aneurysm clipping
b. Anesthetic techniques
c. Indications and technique for bypass
d. Neurophysiological monitoring
e. Parent artery sacrifice
f. Complication avoidance and management
4. Endovascular techniques
a. Diagnostic angiography techniques and complication avoidance
b. Endovascular devices
c. Anticoagulation and antiplatelets
d. Endovascular techniques: direct coil, balloon assist, stent assist
e. Endovascular flow diversion
f. Balloon test occlusion
g. Parent artery sacrifice
h. Complication avoidance and management
5. Specifics of aneurysm treatment (each chp/section will discuss specifics of endo and surg treatment)
a. Anterior communicating artery
b. Internal carotid aneurysms
i. Carotid cave and paraclinoid
ii. Communicating segment (PComm/A Chor)
iii. Carotid terminus
c. Middle cerebral artery
d. Vertebral artery/PICA
e. Basilar artery
i. Trunk aneurysms / AICA
ii. Basilar terminus
iii. PCA / SCA
f. Pericallosal
g. Distal aneurysms
6. Atypical aneurysms –
a. dissections,
b. fusiform aneurysms,
c. mycotic,
d. traumatic

• Comprehensively covers the basic mechanisms, history, management and treatment of intracranial aneurysms
• Written for researchers, residents and clinical practitioners in clinical neuroscience, neurology and neurosurgery
• Contains contributions by expert neurosurgeons of the Endovascular Neurosurgery Research Group

Author
• Andrew J. Ringer, Neurosurgeon with the Mayfield Clinic, Director of Neurosurgery at the Good Samaritan Hospital and Chief of Neurosciences at TriHealth Hospital System in Cincinnati, OH, USA