[Complex intracranial vascular pathology: multiple aneurysms combined with ICA aplasia].

Rare case of multiple aneurysms of posterior circulation associated with right ICA aplasia in 39 year old female patient is described. Detailed description of ICA aplasia is enclosed. Modern diagnostic methods (MRI-SWI) were performed to identify the bleeding source.

[Stepwise treatment of multiple cerebral aneurysms utilizing surgical and endovascular techniques].

To evaluate results of combined treatment of multiple intracranial aneurysms utilizing microsurgical clipping with endovascular techniques. Study group comprised 60 patients with 230 multiple aneurysms (MA) of different location. Most common were aneurysms of ICA--49% and MCA--24%.

[Surgical treatment of patients with supratentorial cavernomas manifested with seizures].

Unlabelled: Supratentorial compartment is the most frequent cavernomas location associated with seizures in 50-79% cases. Surgical removal of some cavernomas remains a delicate decision. To assess long-term epilepsy results in consecutive series of patients treated for supratentorial cavernomas.

[Substantiation of differentiated management of patients with multiple cerebral aneurysms].

The study was performed to substantiate optimal tactics of management of patients with multiple cerebral aneurysms based on analysis of surgical results. This study included 233 (20%) patients with multiple cerebral aneurysms who were treated in Burdenko Neurosurgical Institute since 1995 till 2007. We analyzed results of single-stage (microsurgical technique) and multistage (microsurgical technique and step-by-step application of endovascular and microsurgical techniques) approaches.

[Microsurgical treatment of cerebral arteriovenous malformations in Burdenko Neurosurgical Institute (recent experience)].

Recently the number of AVM resections in Burdenko Neurosurgical Institute has been increased dramatically. Aim of this study was to assess the results of open surgery in our clinic in modern neurosurgical era. Consecutive series if 160 patients with AVM treated using microsurgical technique since 2009 till 2011 was analyzed.

[The role of susceptibility-weighted MRI in detection of ruptured aneurysm in multiple aneurysms].

Since 2008 till 2010 years 22 patients with multiple aneurysms were examined in Burdenko Neurosurgical Institute (Moscow, Russia). The series included 13 female and 9 male patients, age ranged from 28 to 62 years (mean 45 years). 68 aneurysms of different localization were discovered in these 22 patients.

[Aneurysm of posterior lateral choroid artery].

Rare clinical observation of a patient with spontaneous rupture of posterior lateral choroid artery aneurysm is described. The patient was surgically treated--clipping of aneurismal neck with preservation of arterial lumen was performed. The authors illustrated the paper with angiographic data and morphological view confirming genuine structure of aneurysm.

[Structural features of cerebral arteriovenous malformations according to the data of optic microscopy and scanning electron microscopy of corrosion specimens].

The aim of this study was to investigate structure of cerebral arteriovenous malformations (AVM). We examined and treated 5 patients with AVMs of cerebral hemispheres. Treatment consisted of endovascular embolization with subsequent surgical resection of AVM.

[Aneurysms of cerebral arteries in children and adolescents].

Background: Intracranial aneurysms are rare lesions in children and adolescents and their epidemiology, clinical and anatomic features are poorly understood. Aim of the study was to reveal the specific features of cerebral aneurysms in children and adolescents and to develop guidelines for management of these patients.

Materials And Methods: The study was performed on consecutive series of 125 patients under 18 years of age harboring 145 aneurysms.

[Arteriovenous malformation of septum pellucidum in combination with persistent trigeminal neuralgia].

A 16-year-old boy with arteriovenous malformation (AVM) of septum pellucidum in combination with left side persistent trigeminal artery (PTA) is described. Presentation of AVM included severe intracranial hemorrhage and the lesion was removed surgically. The case deserves interest for two reasons.

[Microsurgical treatment of large and giant aneurysms of the internal carotid artery: analysis of application of intravascular blood aspiration technique and future perspectives].

The article discusses results of surgical treatment of 82 patients with large and giant cerebral aneurysms operated in Burdenko Neurosurgical Institute (Moscow, Russia) during the recent 14 years. Special attention was given to benefits of intravascular blood aspiration (IBA) technique. This technique was proven to be very effective, allowing to clip the aneurysm in 87.

[Stage-by-stage treatment of multiple cerebral aneurysms using endovascular and microsurgical techniques].

Aim of the study was to substantiate effectiveness of stage-to-stage application of microsurgical and endovascular techniques in treatment of patients with multiple cerebral aneurysms (MA). 22 patients with MA were included in this study. 70 aneurysms of different location were found in this series.

[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.

[Intraoperative rupture of cerebral aneurysm--incidence and risk factors].

Objective: To reveal and assess risk factors for intraoperative rupture (IOA) of aneurysms, which will reduce the incidence of this complication and improve the outcome of treatment.

Methods: Direct surgical interventions made in 610 cerebral aneurysms at the Vascular Department of N.N.

[Spontaneous anterior meningeal arterial aneurysmal rupture].

The paper describes a rare case of a patient with spontaneous rupture of nontraumatic anterior meningeal arterial aneurysmal rupture. The patient underwent clipping of the neck of the aneurysm and its excision. A detailed account of intraoperative signs of this aneurysm is given.

[Rupture of the dissecting vertebral arterial aneurysm].

The paper describes a rare case of a patient with dissecting vertebral arterial aneurysmal rupture. The patient was operated on--the aneurysmal wall was reinforced with surgical gauze. The intraoperative signs of the dissecting aneurysm are described in detail.

[Familial intracranial aneurysms].

The study included 38 patients with intracranial aneurysms, whose close relatives had experienced intracranial hemorrhages. The patients' relatives were divided into 2 groups according to the verification of the source of hemorrhage. The individuals at risk for aneurysmal disease in whom aneurysms should be sought before their rupture were examined.

[The peculiarities of speech disturbance in patients with arteriovenous malformations of the caudate nucleus and the thalamus].

Clinical and neuropsychological study of 28 patients with arteriovenous malformations (AVM) of the caudate nucleus and 36 patients with AVM of the thalamus has been conducted. After surgical removal of the caudate nucleus, speech disturbances developed in 4 out of 8 patients with left-side AVM and in 1 patient, a converted left-hander, with right-side AVM. All 5 patients had mild speech disturbances, which differed by character in dependence of the AVM location.

[Surgical treatment for asymptomatic non-ruptured intracranial aneurysms].

The study was undertaken to analyze the outcomes of treatment in 37 patients with 44 non-ruptured aneurysms (NRA) at different sites. The paper presents a detailed classification of NRA, identifies individuals at risk for aneurysmal disease in whom an active search for aneurysms until they rupture is recommended to prevent aneurysmal subarachnoidal hemorrhages and their sequels. Total aneurysmal exclusion was achieved in 93.

[Supratentorial cavernomas: clinical picture, diagnosis, treatment].

The study was undertaken to examine the clinical picture, diagnosis, morphology and substantiate management policy for patients with supratentorial cavernomas. Examination was made in 160 patients with this abnormality, 87 of them were operated on. The histological structure of cavernomas was shown to be heterogeneous.

[Temporary arterial clipping in surgery for cerebral aneurysms in acute subarachnoidal hemorrhage].

Temporary clipping was used during operations in 69 patients. Of them, 51 patients underwent temporary arterial clipping, forced temporary arterial clipping was used in 18 patients. A total of 104 patients were operated on with preventive temporary clipping.

[Intravascular blood aspiration in large and giant parawedge aneurysm surgery].

The efficiency of a procedure of intravascular blood aspiration (IVBA) in patients with large and giant parawedge aneurysms of the internal carotid. The study was based on the analysis of clinical data and outcomes of surgical treatment in 20 patients with the aneurysms. The paper presents different procedures for IVBA, a complex of methods for preoperative examination of patients and intraoperative prediction of possible ischemic complications and defines indications for the IVBA procedure.

[2 cases of deep arteriovenous malformations combined with aneurysms of the anterior ciliary artery].

The paper presents two cases of high-surgical-risk deep arteriovenous malformations (AVM) concurrent with aneurysms of the middle portion of the anterior ciliary artery (a male aged 35 years and a female aged 24 years). In the former case, aneurysm and large AVM in the left visual tuber were causes of 4 hemorrhages. In the latter, AVM of subcortical nodes and internal capsule were responsible for single hemorrhage.

[The clinico-neuropsychological aspects of arteriovenous malformations of the hippocampus].

A comprehensive examination was made in 39 patients with arteriovenous malformations (AVM) of hippocampus. Prior to and following surgery, all the patients underwent neuropsychological study after A. R.