ANEURYSM MIDDLE CEREBRAL ARTERY_SURGERY _7
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ANEURYSM MIDDLE CEREBRAL ARTERY_SURGERY _7
Microsurgical clipping of middle cerebral artery aneurysm The following are video recordings of surgical procedures from the Department of Neurosurgery of Saint John’s Hospital of Budapest. The videos were made to assist with the training of neurosurgery, residents. Modern optical systems using the Zeiss OPMI 6 microscope with a Contraves elektromagnetic stabilizer stative were used. The Riechert/Mundinger (F. L. Fischer) stereotaxic device and the Karl Storz endoscope were also used. The most significant portions of the procedures lasting only 3-6 minutes were recorded. With regard to quality, it AVI video with 720 x576 pixels and 72 dpi broadcast picture dimension were used. This is a brief overview of the significant portions of the operations and procedures with respect to the patient’s memory and recall status as they relate to their anatomical positions. The videos are presented in English and to a lesser degree Hungarian. The surgical portions and simultaneous video recordings and editing are my personal endeavors. Assistance in the preparation of the documents was provided. by Dr. János Hável, Dr. Tibor Kiss, Dr. Árpád Viola, surgical nurse Mária Skublics and assistant surgical nurse Norbert Nagy. For this I owe them my deepest gratitude for their support and help. In 1999, with the aid of the Japanese International Cooperation Agency (JICA) and a donation from the Japanese goverment we received video equipment consisting of SONY camera, video recorders, monitors, computerized editing equipment Prof. Shigeharu Suzuki, Dr. Islam (Hirosaki) and Prof. Masami Ishii (Iwaki City) provided invaluable instruction.and teaching of the techniques necessary for the video recording of neurosurgical procedures We offer this study as an adjunct to the medical board certification examinations. Those who would benefit most would be residents in neurosurgery, neurology, anatomy, pathology and radiology. Until this time only the surgical dictation was available to the resident, now the video recording will be the standard. Jeno Julow MD DSc, St. John’s Hospital Dept of Neurosurgery and SOTE Neurosurgery by generous and help of Japan International Cooperation Agency
More
Cerebrovascular surgery, Middle cerebral artery aneurysm surgery
Categories
Medical sciences, Medicine, Surgery, Neurosurgery
Keywords
intracranial aneurysms, cerebral aneurysm, saccular or berry aneurysm, cerebrovascular disorder , cerebral artery, dilation of the blood vessel, LOCATION, circle of Willis, aneurysms within the basal cisterns cerebral aneurysms, internal carotid arteries, middle cerebral artery, anterior cerebral artery, anterior communicating artery, bifurcation, basilar artery, broad-based, ophtalmic artery aneurysm, carotid siphon aneurysm, C4 segmental aneurysm, posterior communicating artery, chiasmatic cistern, midcarotid artery, posterior communicating and anterior choroidal artery, ChA, PICA, anterior choroidal artery, bridging vein, swelling, olfary tract, optic nerve, oculomotor nerve, gyrus rectus, proximal control, carotid bifurcation aneurysm, perforator, A1, M1, M2, basilar artery, sphenpoidal compartment, operculoinsular compartment, sphenoidal, horizontal, segment, M1 bifurcates, lenticulostriatae vessels, cortcal branches, superior temporal gyrus, anterior communicating artery complex aneurysm, fundus, anomalies, sphenoid wing, distal anterior cerebral aneurysm, capacious space, non dominant temporal lobe, low-lying aneurysm, ambiens cistern, CAUSES, congenital defects, high blood pressure, atherosclerosis, head trauma, women, men , following sex, following defecation, CLASSIFICATION, Small aneurysms, large aneurysms, giant aneurysma, saccular aneurysms, berry aneurysms, fusiform neurysms are aneurysms without stent, middle aneurysm, candelabra, sac, SYMPTOMS, severe headache, nuchal rigidity, nausea, vision impairment, vomiting, loss of consciousness, meninges , brain, neurological deficit, subarachnoid hemorrhage , SAH, intracranial hematoma, ICH, stroke, rebleeding, vasospasm, multiple, per year, moribund, CLASSIFICATION OF RUPTURED ANEURYSM SEVERITY, Hunt and Hess scale, Fisher Grade , prognosis, VASOSPASM, digital angiography, CT angiography, carotid angiography,Doppler, CT , MRI, nuclear perfusion scanning, cerebral angiography 'Triple H' (hypertensive-hypervolemic-hemodilution therapy, balloon angioplasty, CSF, lumbar punction, clot removal, multilocular, TREATMENT, hair line, head tilted, head turned, head position, emergency treatment, intracranial pressure, microsurgical clipping, endovascular coiling, rebleeding, frontotemporal craniotomy, Sylvian fissure, pterional craniotomy, surgical management, subarachnoid drain, dural flap, unroof the optic nerve, anterior clinoid process, dissection of aneurysm, neck of the aneurysm, carotid ring, dissected, bone flap, incision, gentle retraction, scalp incision, burr hole, silastic catheter, CSF , dominant, atheromatous, evacuation, SURGICAL CLIPPING, Surgical clipping, Yasargil clip, Yasargil-Leyla self retaining retractor Mayfield, temporary clip, clip blade, tentative aneurysm clipping, step clipping, alternate clipping, suction of blood, multiple clipping, tandem clipping, counter clipping, facing, crosswise, formating clipping, shank clipping, bayonet clip, branch artery formating, parent artery formating, booster clipping, duplication clipping, shank clipping, compression clipping, straight clip, rotation advance, applicator changing, dissection with clip blades, long axis, deflation, fenestrated clip, clip ligation, contralteral clip ligation, drilling technique, frontal lobe retractor, right haned surgeon, temporal lobe retractor, elevating the frontal lobe, temporary occlusion,suction decompression, trap the aneurysm, aneurysmorrhaphy, arterial reconstruction, obliteration, Sugita clip, straight clip, curved clip, fenestrated clip encircled, direct clip operation, Hunterian ligation, failure to clip, premature rupture, cottonoid, anticonvulsant, left handed surgeon, bayonetted clip, posterior clinoid process, wrapping, endovascular coiling, Guglielmi, platinum, broad-based aneurysms, stent-assisted coiling, stents Benefits and risks, coiled aneurysm, hydrocephalus, meningitis, arteriar occlusion, intraoperative complication, incision, posterior management, medical problems, brain swelling, UNFAVOURABLE OUTCOME, hemorrhage, errors in surgical timing, conceptual errors, technical errors, delayed cerebral iscemia, complications, hypertense hypervolemic therapy, bad luck, precious and vital anatomical preparation, aneurysm rupture, aneurysm clips and applying forceps, self retaining retractor, basilar aneurysm, multiplex aneurysm, subtemporal approach, transsylvian exposure, vein of Labe, third nerve, trochlear nerve, uncus, Liliequist membrane, zygoma, superior cerebellar artery, P1, posterior cerebral artery, P1 perforators, high basilar bifurcation, low basilar bifurcation, basilar apex aneurysm, interpeduncular cistern, thalamoperforates arteries, Payne’s point, P1-P2 junction, retrocarotid space, triangle, half and half, posterior cerebral and superior cerebellar artery aneurysm, PCA, PCoA, P3 segment, Drake, Hernesnieni, Vajda, Julow, Jeno Julow , Dr, DSc, med. habil. dr, St. John’s Hospital, Department of Neurosurgery, Budapest, Hungary, h102494jul@ella.hu, h12494jul@t-online.com, julow9@gmail.com, Dr.Julow Jenő Viktor, Szent János Kórház, Szt. János Kórház, neurosurgery, idegsebészet, JICA, video, resident, E-book, St. John Hospital, idegsebészeti osztály, neurosurgical video movies, idegsebészeti video, 脳神経外科, Julow ないジェノサボー オルザグ, 神经外科的视频电影, 住院医师, vídeos de Neurocirugía, enseña a cirugías de cráneo, جراحة الأعصاب وأشرطة الفيديو, يعلم جراحات الجمجمة, Нейрохирургия видео, giải phẫu hộp sọ dạy, ngôn ngữ thiểu số neurosurgical
5:53
Date of recording
4 December, 2012
Uploaded by
Prof. Jeno Julow
Date of uploading
4 December, 2012
218
MP3