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Neurovascular neurosurgery 

Neurovascular neurosurgery
Neurovascular neurosurgery

AL Green

, RD Johnson

, JA Hyam

, and RSC Kerr

Page of

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date: 03 August 2021

The first sections of this chapter deal with aneurysmal subarachnoid haemorrhage, including studies which examine the natural history of aneurysms and their treatment, such as the International Co-operative Study which addresses the timing of aneurysm surgery and prognostic factors associated with good and poor outcomes. Also included is the large study of unruptured aneurysms by the International Study of Unruptured Intracranial Aneurysms Investigators (ISUIA) and The International Subarachnoid Aneurysm Trial (ISAT. The treatment of arteriovenous malformations (AVMs) is also considered. Further sections of this chapter deal with the surgical management of spontaneous non-aneurysmal intraparenchymal haemorrhages (STICH I + II trials) and decompressive surgery for the management of malignant MCA infarction (DESTINY, DECIMAL, HAMLET, and HeaDFIRST trials). The final sections deal with the role of surgery in the management of carotid artery stenosis (NASCET and SPACE trials).

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