Neurovascular contact in trigeminal neuralgia

While selectively sectioning the pain fibers in trigeminal neuralgia (which usually lie posteriorly) of the trigeminal nerve via an occipital craniectomy Walter Edward Dandy, as quoted in Wilkins, noted that vascular compression of the trigeminal nerve at the pons was a frequent finding 1).

However some patients may present with clinically classical trigeminal neuralgiabut no vascular conflict on MRI or even at surgery. Several factors have been cited as alternative or supplementary factors that may cause neuralgia.

The vessel that most often causes TN is the superior cerebellar artery (SCA), other known offending vessels include the anterior inferior cerebellar artery(AICA) and the vertebrobasilar artery and vein.

Veins as the source of trigeminal neuralgias (TN) lead to controversies. Only a few studies have specifically dealt with venous implication in neurovascular conflicts (NVC).

A study shows the frequent implication of veins not only at TREZ but also at mid-cisternal portion and porus of Meckel cave 2).

Trigeminal neuralgia in pediatric patients is very rare. A case of typical trigeminal neuralgia in a child, demonstrating the pathogenesis of the neurovascular conflict due to subarachnoidal adhesions after meningoencephalitis was reported 3).

It is widely accepted that a neurovascular contact in the cisternal segment of the trigeminal nerve is the primary cause of classical trigeminal neuralgia 4). However, previous studies have cast doubt on this hypothesis because a neurovascular contact was reported to be prevalent on both the symptomatic and the asymptomatic side and therefore suggested that the severity of the neurovascular contact should be taken into account 5)6) 7). The previous studies were limited by small sample size, lack of blinding, MRI was done with low magnetic field strength or study populations were highly selected consisting only of patients from neurosurgical departments.

Grading the neurovascular contact in classical trigeminal neuralgia is scientifically and probably also clinically important. Findings demonstrate that neurovascular contact is highly prevalent on both the symptomatic and asymptomatic sides. Maarbjerg et al., demonstrated that severe neurovascular contact is involved in the aetiology of classical trigeminal neuralgia and that it is caused by arteries located in the root entry zone. Findings also indicate that in some patients with classical trigeminal neuralgia a neurovascular contact is not involved in the aetiology of the disease or may only be a contributing factor in combination with other unknown factors. The degree of neurovascular contact could thus be important when selecting patients for surgery 8).

Jani et al., from the University of Pittsburgh Medical Centerprospectively recruited 27 patients without facial pain who were undergoing microvascular decompression for hemifacial spasm and had undergone high-resolution preoperative MRINeurovascular contact/compression (NVC/C) by artery or vein was assessed both intraoperatively and by MRI, and was stratified into 3 types: simple contact, compression (indentation of the surface of the nerve), and deformity (deviation or distortion of the nerve).

Intraoperative evidence of NVC/C was detected in 23 patients. MRI evidence of NVC/C was detected in 18 patients, all of whom had intraoperative evidence of NVC/C. Thus, there were 5, or 28% more patients in whom NVC/C was detected intraoperatively than with MRI (Kappa = 0.52); contact was observed in 4 of these patients and compression in 1 patient. In patients where NVC/C was observed by both methods, there was agreement regarding the severity of contact/compression in 83% (15/18) of patients (Kappa = 0.47). No patients exhibited deformity of the nerve by imaging or intraoperatively.

There was moderate agreement between imaging and operative findings with respect to both the presence and severity of NVC/C 9).



Wilkins RH: Historical perspectives, in Rovit RL, Murali R, Jannetta PJ (eds): Trigeminal Neuralgia. Baltimore: Williams & Wilkins, 1990, pp 1–25

Dumot C, Sindou M. Trigeminal neuralgia due to neurovascular conflicts from venous origin: an anatomical-surgical study (consecutive series of 124 operated cases). Acta Neurochir (Wien). 2015 Jan 22. [Epub ahead of print] PubMed PMID: 25604274.

Solth A, Veelken N, Gottschalk J, Goebell E, Pothmann R, Kremer P. Successful vascular decompression in an 11-year-old patient with trigeminal neuralgia. Childs Nerv Syst. 2008 Jun;24(6):763-6. doi: 10.1007/s00381-008-0581-0. Epub 2008 Feb 22. PubMed PMID: 18293001.

Devor M, Amir R, Rappaport ZH. Pathophysiology of trigeminal neuralgia: the ignition hypothesis. Clin J Pain. 2002 Jan-Feb;18(1):4-13. Review. PubMed PMID: 11803297.

Masur H, Papke K, Bongartz G, Vollbrecht K. The significance of three-dimensional MR-defined neurovascular compression for the pathogenesis of trigeminal neuralgia. J Neurol. 1995 Jan;242(2):93-8. PubMed PMID: 7707097.

Anderson VC, Berryhill PC, Sandquist MA, Ciaverella DP, Nesbit GM, Burchiel KJ. High-resolution three-dimensional magnetic resonance angiography and three-dimensional spoiled gradient-recalled imaging in the evaluation of neurovascular compression in patients with trigeminal neuralgia: a double-blind pilot study, Neurosurgery , 2006, vol. 58 pg. 666-73

Miller JP, Acar F, Hamilton BE, Burchiel KJ. Radiographic evaluation of trigeminal neurovascular compression in patients with and without trigeminal neuralgia, J Neurosurg , 2009a, vol. 110 pg. 627-632

Maarbjerg S, Wolfram F, Gozalov A, Olesen J, Bendtsen L. Significance of neurovascular contact in classical trigeminal neuralgia. Brain. 2015 Feb;138(Pt 2):311-9. doi: 10.1093/brain/awu349. Epub 2014 Dec 24. PubMed PMID: 25541189.

Jani RH, Hughes MA, Gold MS, Branstetter BF, Ligus ZE, Sekula RF Jr. Trigeminal Nerve Compression Without Trigeminal Neuralgia: Intraoperative vs Imaging Evidence. Neurosurgery. 2019 Jan 1;84(1):60-65. doi: 10.1093/neuros/nyx636. PubMed PMID: 29425330.

Decision Making in Neurovascular Disease

Decision Making in Neurovascular Disease

List Price: $249.99
Neurovascular medicine has emerged as an established, semi-independent subspecialty of neurology and neurosurgery. Decision Making in Neurovascular Disease focuses on the challenging process of determining the best approach for managing patients with intracranial atherosclerosis, carotid artery disease, stroke, aneurysms, arteriovenous malformations, arteriovenous fistulae, cavernous malformations, and hypervascular tumors. Leonardo Rangel-Castilla, Robert Spetzler, esteemed coauthors, and an impressive cadre of experts discuss highly divergent modalities including medical management, open cerebrovascular, endovascular, radiosurgery, and combined/multimodality alternatives.
The book is organized into seven sections: Ischemic Stroke and Vascular Insufficiency, Aneurysms – Anterior Circulation, Aneurysms – Posterior Circulation, Aneurysms – Other, Arteriovenous Malformations and Fistula, Cavernous Malformations, and Hypervascular Tumors. Chapters include an introduction, decision-making algorithm, whether to treat, conservative management, anatomical considerations, clinical and imaging evaluation, differential diagnosis, treatment options, images, clinical and radiographic follow-up, and suggested reading.
Key highlights
Simple algorithms accompanying 71 chapters supported by the latest, most updated information in the literature
More than 375 radiologic images help elucidate disease-specific treatment decision making
Step-by-step guidance, clinical pearls, surgical nuances, complication avoidance, and evidence-based outcomes provide in-depth understanding
Point/counterpoint expert commentary on each case provides balanced insights on potential implications of specific treatments
This essential step-by-step book is a must-have for residents and fellows in neurosurgery, neurology, endovascular, interventional radiology, vascular neurology, and neurocritical care, as well as veteran clinicians in these specialties

Pediatric Vascular Neurosurgery: Principles and Practice of Neurovascular Disorders (Part 1)

Pediatric Vascular Neurosurgery: Principles and Practice of Neurovascular Disorders (Part 1)

Pediatric Vascular Neurosurgery: Principles and Practice of Neurovascular Disorders (Part 1)

List Price: $179.00
This book answers frequently asked questions about common pediatric neurosurgical conditions related to vascular malformations of the brain and spinal cord, in an attempt to fill in the gap and answer numerous questions that arises after a diagnosis is made.

Pediatric patients with neurosurgical conditions are almost always referred from either primary care physicians, neurologists internists or a specialist in family medicine. Recently, neurosurgeons treating adult population also refer a pediatric patient to their colleague specialized in this field.
There are over 1500 academic and private hospitals in the US who have dedicated tertiary Neurosurgery services and cater thousands of small children every year, in addition to numerous centers that have level 1 and 2 trauma care. However, there are few tertiary level Pediatric centers which can provide quality care for neurosurgical conditions.
This book is specially written and illustrated for residents, fellows and consultants/attendings in all pediatric related specialties, including but not limited to Neurosurgery, Neurology, Pediatrics, Radiology, Anesthesia.

Product Details

  • Published on: 2017-05-08
  • Original language: English
  • Number of items: 1
  • Dimensions: 9.30″ h x .0″ w x 6.10″ l, .0 pounds
  • Binding: Hardcover
  • 325 pages

Editorial Reviews

From the Back Cover
This book focuses on core concepts of vascular neurosurgery in pediatric population,. It is designed to fill the knowledge gaps and to answer the frequently sought questions on various management strategies for commonly encountered pediatric neurosurgical conditions. The chapters, authored by experts in their respective field, provide a standard of care based on current diagnostic and management guidelines for pediatric neurosurgical diseases.

Pediatric Vascular Neurosurgery – Disorders and their Management is specially written and illustrated for residents, fellows and consultants in all pediatric related specialties, including but not limited to Neurosurgery, Neurology, Pediatrics, Neuroradiology and Neuroanesthesia.

About the Author
Dr Abhishek Agrawal, M.D.: House Staff, Department of Neurosurgery/ Radiology, Brigham and Women’s’ Hospital, Harvard Medical School, Boston.

Dr Gavin Britz, MBCCh, MPH, MBA, FAANS: Chairman, Department of Neurosurgery, Methodist Neurological Institute, Houston, Texas


The British Neurovascular Group evolved from informal groupings
of interested clinicians and researchers within the Society of
British Neurological Surgeons.
They initially assembled under the banner of the Spontaneous
Intracerebral Haemorrhage Group and members conceived or
facilitated important British contributions to the care of patients
with neurovascular disease including the STICH trials.
Mr Stuart Ross
Consultant Neurosurgeon, Leeds General Infirmary, Leeds
Organising Committee
Mr Edward Jerome St George
Consultant Neurosurgeon, Southern General Hospital, Glasgow
Mr Nigel Suttner
Consultant Neurosurgeon, Queen Elizabeth University Hospital,
Invited Speakers
Jeremiah N. Johnson, MD, Dept. of Neurosurgery, UT Health
Science Centre San Antonio, San Antonio, Texas, USA
Mr. Mario Teo, Consultant Neurosurgeon, Bristol, UK
The hybrid endovascular neurosurgeon in practice
• Legislative and bureaucratic hurdles to combined endovascular/
neurosurgical training in the UK
• Moyamoya disease
13:10 Prevalence of cerebral vascular abnormalities in spontaneous subarachnoid haemorrhage I Phang
13:20 Is digital subtraction angiography (DSA) necessary in cases of perimesencephalic J Walker
subarachnoid haemorrhage (PMSAH) if CT angiogram (CTA) is negative – A systematic review Page 5
13:30 Associations between outcome and radiological screening practices for delayed cerebral ischaemia M Hollingworth
13:40 The role of semi-quantitative flow analysis with indocyanine green videoangiography in A Ghosh
cerebrovascular surgery
13:50 Risk factors of shunt dependent hydrocephalus in aneurysmal subarachnoid hemorrhage – M Blagia
Our experience and literature review
14:00 Guest Lecture J Johnson
The comprehensive (dual-trained) cerebrovascular neurosurgeon. Is one better than two?
15:10 Seminar – Dual training in neurovascular surgery H Patel, J Johnson
15:40 A single centre experience of intra operative angiogram use in arteriovenous malformation excision G Dobson
15:50 Does the availability of a microvascular neurosurgeon impact on the management and outcomes in K Ageymang
patients with an aneurysmal clot?
16:00 Surgical outcomes of very poor grade subarachnoid haemorrhage M Kommer
16:10 Sylvian fissure haematomas – A single unit experience R Chave-Cox
16:20 Cryptogenic subarachnoid haemorrhage – What’s new, MR? C Li
09:00 Guest lecture M Teo
Moyamoya disease – The last frontier for brain bypass surgery
09:30 Moyamoya disease in Denmark – A population based register study P Birkeland
09:40 EC-IC bypass – A single centre experience C Robson
09:50 Neurovascular simulator – A novel training aid A Sheikh
10:00 MSN – 24/7 Scottish coiling service D Seok-Lee
10:30 A neuroradiologist’s perspective on INR training M Puthuran
11:00 Guest lecture J Johnson
Neurovascular training – A United States perspective
11:15 Guest Lecture M Teo
USA neurovascular fellowship – A United Kingdom perspective
11:30 MISTIE III – Update on progress B Gregson
11:40 The SCIL-SAH Phase II study – Results and implications for future trials J Galea
11:50 In-hospital outcomes of aneurysmal SAH in the UK and Ireland H Patel
12:00 Treatment of poor grade subarachnoid haemorrhage trial – TOPSAT 2 – Update on progress B Gregson



MIÉRCOLES, 19 de octubre de 2016

13:30 h. Entrega de Documentación al Curso Pre-Jornadas
15:30 – 19:00 h.
Curso Pre-Jornada
Como ser neurocirujano vascular en la era del tratamiento endovascular

15:30-16:00 h. Cómo ser neurocirujano vascular. La era del tratamiento endovascular. Modelos de entrenamiento. Jon Olabe
16:00-19:00 h. Casos clínicos.
Ponentes: Francisco González Llanos. Jorge Mura. Fuat Arikan
 Aneurismas paraclinoideos
 Aneurismas de comunicante anterior
 Aneurisma carotídeos
 Aneurismas de ACM
 Aneurismas de circulación posterior
 MAVs
 By passes
Formato: presentación de casos clínicos y videos quirúrgicos incidiendo sobre los aspectos prácticos del manejo quirúrgico. Formato interactivo con la audiencia. Se ofertará la posibilidad de presentar casos clínicos por parte de los asistentes. 
21:00 h. Cóctel de Bienvenida

jueves, 20 de octubre de 2016

08:00 h. Entrega de Documentación
08:45 h. Inauguración de las Jornadas
09:00 – 11:00 h. MESA REDONDA 1

Moderadores: Dr. E. García Bautista. Granada (España)
Dra. Jorques, Granada (España)
Ponente: The case for clipping aneurysms.
Dr. Spetzler. Phoenix (USA)
Caso Clínico 1: Aneurisma paraclinoideo
Presenta y resuelve: A. González. (Sevilla)
Discusión 1: A. Romance (Málaga)
Discusión 2: G. Ibáñez (Málaga)
Caso Clínico 2: Aneurisma CoP
Presenta y resuelve O.Mateo (Madrid)
Discusión 1: S. Guelbenzu (Zaragoza)
Discusión 2: F. Rguez Peña (Cádiz)
11:00 – 11:30 h. Pausa-Café
patrocinado por
Stryker Neurovascular
11:30 – 13:30 h. MESA REDONDA 2

Moderadores: Dr. Alcázar. Granada (España)
Dr. González Llanos, Toledo (España)
Ponencias: New strategies for difficult bifurcation aneurysms.
Prof. Cognard. Toulouse (Francia)
Tratamiento quirúrgico de aneurismas de bifurcación carotídea.
Dr. Jorge Mura. Santiago (Chile)
Caso Clínico 3: Aneurismas gigantes
Presenta y resuelve: Dr. Arikan (Barcelona)
Discusión 1: A. González (Sevilla)
Discusión 2: J. Fdez Alen (Madrid)
Caso Clínico 4: Aneurisma carotideo
Presenta y resuelve: Dr. Gil (Bilbao)
Discusión 1: L. San Román (Barcelona)
Discusión 2: E. Baño (Alicante)
13:30 – 15:00 h. Almuerzo
15:00 – 17:00 h. MESA REDONDA 3:

Moderadores: Dr. Pérez Higueras. Madrid (España)
Dr. José Maestre. Granada (España)
Ponencia: Ictus isquémico asociado a disección arterial.
Dr. Díez Tejedor. Madrid (España)
Caso Clínico 5: Disección carotídea.
Presenta y resuelve:  Dra. E. Jiménez (Córdoba)
Discusión 1: J. Gil (Valencia)
Discusión 2: I. Carrera Muñoz (Granada)
Caso Clínico 6: Disección carotídea.
Presenta y Resuelve: Dr. L. San Román (Barcelona)
Discusión 1: A. Vega (Madrid)

Discusión 2: I. Villegas Rodriguez (Granada)
17:00 – 17:30 h. Pausa-Café
17:30 – 18:30 h. MESA REDONDA 4:

Moderadores: Dr. Ballenilla. Madrid (España)
Dr. Arikan, Barcelona (España))
Ponencia: Nuevos clips para el manejo de aneurismas complejos.
Dr. Jorge Mura. Santiago (Chile)
Caso Clínico 7: Aneurisma A. Com. Ant
Presenta y resuelve: A. Larrea (S. Sebastián)
Discusión 1: X. Manso (Bilbao)
Discusión 2: J Almarcha (Sevilla)

VIERNEs, 21 de octubre de 2016

09:00 – 11:00 h. MESA REDONDA 5

Moderadores: Dr. San Román. Madrid (España)
Dr. Horcajadas, Granada (España)
Ponencias: Management of AVMs after ARUBA
Dr. Spetzler. Phoenix (USA)
Brain AVMs: to treat or not to treat?
Prof. Cognard. Toulouse (Francia)
Caso Clínico 8: MAV parietal
Presenta y resuelve: Dr. Dominguez (Málaga)
Discusión 1: E. Jiménez (Córdoba)
Discusión 2: J. Gonçalves (Salamanca)
Caso Clínico 9: MAV occipital
Presenta y resuelve: Dr. Muñoz (Barcelona)
Discusión 1: A. Gil (Bilbao)
Discusión 2: J. Ibáñez (Mallorca)
11:00 – 11:30 h. Pausa-Café
patrocinado por
B. Braun España
11:30 – 13:30 h. MESA REDONDA 6

Moderadores: Dr. Castaño. Barcelona (España)
 A. Espigares. Granada (España)
Ponencias: Estado actual del tratamiento endovascular en el ictus isquémico agudo.
Dr. Dávalos. Barcelona (España)
Ponencia: Thrombectomy: what we know, what we don’t know : the next RCTs we need.
Prof. Cognard. Toulouse (Francia)
Caso Clínico 10: Ictus agudo hora inicio desconocida
Presenta y Resuelve: J. Ortega (Sevilla)
Discusión 1: A. González-Mandly (Santander)

Discusión 2: M.D. Fernandez Perez (Granada)
Caso Clínico 11: Ictus agudo oclusión distal
Presenta y Resuelve. L San Román (Barcelona)
Discusión 1: R. Martínez (Granada)

Discusión 2: A. Espigares, (Granada)

13:30 – 14:30 h. SIMPOSIO: Avances tecnológicos en la patología cerebrovascular
patrocinado por

13:30 – 15:00 h. Almuerzo
15:00 – 17:00 h. MESA REDONDA 7

Moderadores: Dra. Frutos. Madrid (España)
Dr. Lagares, Madrid (España)
Ponencia: Manejo de aneurismas paraclinoideos.
Dr. Jorge Mura. Santiago (Chile)
Caso Clínico 12: Oclusión vertebral
Presenta y resuelve: Dra O’Shanahan (Las Palmas)
Discusión 1: V. Vázquez (Valencia)
Discusión 2: R. Torné (Barcelona)
Caso Clínico 13: Lesión arteriovenosa medular cervical
Presenta y resuelve: Dr. V. Vázquez (Valencia)
Discusión 1: J. Larrea (San Sebastián)
Discusión 2: J. Glez Darder (Valencia)
17:00 – 17:30 h. Pausa-Café
17:30 – 18:30 h. MESA REDONDA 8

Moderadores: Dr. Nombela. Madrid (España)
Dr. Ley, Madrid (España)
Ponencias: Management of spinal AVMs.
Dr. Spetzler. Phoenix (USA)
Tratamiento endovascular de MAVs piales y/o intramedulares.
Prof. Casasco. Madrid (España)
Caso Clínico 14: MAV medular
Presenta y resuelve: Dr. Casasco (Madrid)
Discusión 1: A. Moreno (Murcia)
Discusión 2: R. Sarabia (Valladolid)
21:30 h.
(hora estimada)
Cena de Clausura


SÁBADO, 22 de octubre de 2016

09:00 – 11:00 h. MESA REDONDA 9

Moderadores: Dr. Casasco. Madrid (España)
Dra. Inmaculada Villegas Rodriguez. Granada (España)
Ponencia: Revascularización de arterias cervicales como profilaxis de ictus isquémico.
Dr. Brown. Londres (Reino Unido)
Caso Clínico 15: Ictus Fluctuante. Oclusión carotidea
Presenta y Resuelve. Dr. Olabe (Mallorca)
Discusión 1: C. Castaño (Barcelona)

Discusión 2: L. Triguero Cueva  (Granada)
Caso Clínico 16: Presenta y resuelve: I. Arrese (Valladolid)
Discusión 1: E Fandiño (Madrid)
Discusión 2: J. L. Llácer (Alcira)
11:00 – 11:30 h. Pausa-Café
patrocinado por
11:30 – 13:30 h. MESA REDONDA 10

Moderadores: Dr. Guimaraens. Barcelona (España)
Dr. Gabarrós, Barcelona (España)
Ponencia: Cirugía de revascularización en la era del diversor de flujo.
Dr. González Llanos. Toledo (España)
Caso Clínico 17: MAV GGBB
Presenta y resuelve: Dr. Ros (Murcia)
Discusión 1: A. Casasco (Madrid)
Discusión 2: J. Orduna (Zaragoza)
Caso Clínico 18: Aneurisma fusiforme ACM
Presenta y resuelve: L Paul (Getafe)
Discusión 1: Dr. E. Górriz (Las Palmas)
Discusión 2: P. Ojeda (Barcelona)


New Book: Neurovascular Imaging (From Basics to Advanced Concepts)

Neurovascular Imaging: From Basics to Advanced Concepts

Neurovascular Imaging: From Basics to Advanced Concepts
List Price: $799.00
Vascular Neurology, Vascular Neurosurgery and Interventional Neuroradiology are independent fields with dedicated Training Programs. Neuroimaging, and in particular what we call “Neurovascular Imaging” is a unifying factor which can be considered the intersection of these three medical specialties. With this book we aim to cover thoroughly the imaging techniques, potentialities, and present and future applications as applied to all the vascular diseases of the central nervous system from the imaging point of view. This book will comprise eight main sections: (1) The Basics, (2) Arteries of the Head and Neck (3) The basics of Intracranial Arteries (4) Diseases of the vessels (5) Stroke Imaging (6) Veins Imaging (7) Spine Imaging (8) Pediatrics.

Product Details

  • Number of items: 2
  • Dimensions: 10.41″ h x 3.07″ w x 7.30″ l, .0 pounds
  • Binding: Hardcover
  • 1192 pages

Editorial Reviews

About the Author
Luca Saba received the MD from the University of Cagliari, Italy in 2002. Today he works in the A.O.U. of Cagliari. His research fields are focused on Multi-Detector-Row Computed Tomography, Magnetic Resonance, Ultrasound, Neuroradiology, and Diagnostics in Vascular Sciences.
He has published over 100 articles as the primary author in international peer-reviewed journals including American Journal of Neuroradiology, Atherosclerosis, European Radiology, European Journal of Radiology, Acta Radiologica, Cardiovascular and Interventional Radiology, Journal of Computer Assisted Tomography, American Journal of Roentgenology, Neuroradiology,Clinical Radiology, Journal of Cardiovascular Surgery, Cerebrovascular Diseases. In addition to his well cited research papers, Dr. Saba is a well known speaker having spoken over 45 times at national and international meetings.
Dr. Saba has won 15 scientific and extracurricular awards during his career. He has presented more than 450 papers and posters in National and International Congress (RSNA, ESGAR, ECR, ISR, AOCR, AINR, JRS, SIRM, AINR).  He wrote 9 book-chapters and he is Editor of 6 books in the field of Computed Tomography, Cardiovascular imaging, Plastic Surgery Imaging, Gynecological Imaging and Neurodegenerative imaging.
He is member of the Italian Society of Radiology (SIRM), European Society of Radiology (ESR), Radiological Society of North America (RSNA), American Roentgen Ray Society (ARRS) and European Society of Neuroradiology (ESNR) and serves as Reviewer of more 30 scientific Journals.Dr. Eytan Raz currently works at NYU Langone Medical Center in New York City. He graduated from Sapienza University of Rome School of Medicine in 2006 where he also obtained his Radiology Specialty in 2011. He completed his Fellowships in “Diagnostic Neuroradiology” and “Interventional Neuroradiology” at NYU Langone Medical Center. He is the author of more than 40 publications in high impact factor, peer-reviewed journals such as Radiology, AJNR, AJR, Neurology and Brain Pathology. His fields of expertise include neurovascular diseases, traumatic brain injury and multiple sclerosis. In 2012 he was appointed Editor for the Fellows’ Portal of AJNR. He is reviewer for more than 10 journals and has presented more than 70 abstracts at international conferences. He is a member of the Radiological Society of North America (RSNA), the American Society of Neuroradiology (ASNR), and the Italian Society of Neuroradiology (AINR).

Book: Neurovascular Surgery

Neurovascular Surgery

Neurovascular Surgery

List Price: $399.99
The complex, highly technological field of neurovascular surgery is quickly expanding, encompassing traditional surgical approaches, as well as endovascular and neurointerventional techniques. The last decade has seen increased cross-specialty interest in utilizing minimally invasive techniques to help prevent and treat cerebrovascular disease. Concurrently, there has been important research analyzing the efficacy of surgical methods versus endovascular approaches and the clip versus coil discussion is covered herein.
Written by 21st Century pioneers in the field, this second, cutting-edge edition offers the latest science throughout 1,400 pages and a remarkable video library covering anatomy, diagnosis, epidemiology, history, treatment indications, technical nuances, outcomes, and complications. Internationally renowned experts from across the globe share clinical pearls and best practices,from the research lab to the ER to the OR.
Medical, surgical, endovascular, cerebral revascularization, bypass surgery, radiation therapy, and other procedures are covered in depth. Evidence-based and transdisciplinary, the second edition covers the full spectrum of neurovascular pathologies,preoperatively and postoperatively,including:

  • Ischemic Stroke and Vascular Insufficiency
  • Cerebral and Spinal Aneurysms
  • Cerebral and Spinal Arteriovenous Fistulae and Malformations
  • Vascular Tumors
  • Carotid Artery Disease
  • Moya-Moya Disease
  • Revascularization techniques

Organized into 11 primary sections, 99 richly illustrated chapters, and more than 140 videos, this volume is an invaluable, one-stop reference tool. It is a must-have for general, vascular and endovascular neurosurgeons; interventional radiologists; neurologists; critical care practitioners; and neuro-rehabilitation specialists.

Product Details

  • Published on: 2015-06-10
  • Original language: English
  • Number of items: 1
  • Dimensions: .0″ h x .0″ w x .0″ l, .0 pounds
  • Binding: Hardcover
  • 1280 pages

Book: Neurovascular Anatomy in Interventional Neuroradiology: A Case-Based Approach

Neurovascular Anatomy in Interventional Neuroradiology: A Case-Based Approach

By Timo Krings, Sasikhan Geibprasert, Juan Pablo Cruz, Karel G.  terBrugge
Neurovascular Anatomy in Interventional Neuroradiology: A Case-Based Approach

List Price: $119.99
This case-based book presents detailed information on neurovascular anatomy in concise, easily digestible chapters that focus on the importance of understanding anatomy when performing neurointerventional procedures. The case discussions include modern examples of invasive and non-invasive angiographic techniques that are relevant for general radiologists and diagnostic neuroradiologists as well as interventionalists. This book gives readers the detailed knowledge of neurovascular anatomy that allows them to anticipate and avoid potential complications.
Key Features:

  • Cases are enhanced by more than 1,000 high-quality radiographs covering the full range of neurovascular anatomy
  • Content focuses on the practical relevance of the anatomical features encountered while performing everyday neurovascular procedures
  • Anatomy and embryology are explained together, enabling readers to fully comprehend the vascular anatomy and its many variants
  • Pearls and pitfalls are provided at the end of each chapter, highlighting the critical anatomy points presented

All neuroradiologists, interventionalists, general radiologists, and diagnostic neuroradiologists, as well as residents and fellows in these specialties, will read this book cover to cover and frequently consult it for a quick review before performing procedures.

Product Details

  • Published on: 2015-06-05
  • Original language: English
  • Number of items: 1
  • Dimensions: 10.98″ h x 8.50″ w x .0″ l, .0 pounds
  • Binding: Paperback
  • 244 pages
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