In July 2004 specialists in neurosurgery, neuroradiology, neurology and neurointensive care discussed recent trends at the 2nd Swiss Japanese Joint Conference on Cerebral Stroke Surgery, held in Zurich, Switzerland. New concepts were worked out during the conference and are published in this volume. The book starts with the topic intracranial aneurysms, discussing microsurgical and endovascular treatment modalities, as well as new surgical approaches. Further chapters deal with the management of unruptured aneurysms and with subarachnoid hemorrhage. Practical guidelines for vasospasm treatment are given. Together with contributions about arteriovenous malformations and fistulas, cerebral revascularization techniques and surgery related to the intracranial venous system a comprehensive overview about stroke surgery is given with an interdisciplinary approach. The book will be of interest for all specialists involved in therapy of cerebrovascular disease.

Inhalt
Intracranial aneurysms.- Microsurgical clipping of cerebral aneurysms after the ISAT Study.- Endovascular treatment for elderly patients with ruptured aneurysm.- Conventional microsurgical technique and endovascular method for the treatment of cerebral aneurysms: a comparative view.- Lateral supraorbital approach as an alternative to the classical pterional approach.- Conventional microsurgical treatment of paraclinoid aneurysms: state of the art with the use of the selective extradural anterior clinoidectomy SEAC.- Subtemporal approach to basilar bifurcation aneurysms: advanced technique and clinical experience.- Basilar bifurcation aneurysms. Lessons learnt from 40 consecutive cases.- Perioperative management.- Endovascular treatment of cerebral vasospasm following aneurysmal subarachnoid hemorrhage.- The intracranial B-waves' amplitude as prognostication criterion of neurological complications in neuroendovascular interventions.- Management of severe subarachnoid hemorrhage; significance of assessment of both neurological and systemic insults at acute stage.- Cerebral vasospasm: results of a structured multimodal treatment.- Management of unruptured intracranial aneurysms.- Treatment of unruptured cerebral aneurysms; a multi-center study at Japanese national hospitals.- Endovascular treatment of unruptured cerebral aneurysms.- Management of ruptured aneurysms combined with coexisting aneurysms.- Surgical treatment of unruptured cerebral aneurysms in the elderly.- Intracranial arteriovenous malformations and Dural AVM, AVF.- Three cases of AVM at eloquent areas finally treated with conventional microsurgical method.- Early surgery for ruptured cerebral arteriovenous malformations.- Cranial and spinal dural arteriovenous malformations and fistulas: an update.- Hemodynamic status and treatment of aggressive dural arteriovenous fistulas.- Carotid- and vertebral-stenosis.- Conventional microsurgical endarterectomy.- Surgical treatment for bilateral carotid arterial stenosis.- Stenting for vertebrobasilar artery stenosis.- Extracranial-intracranial bypass.- The ELANA technique: high flow revascularization of the brain.- Moyamoya angiopathy in Europe.- Cerebral revascularization model in a swine.- Prediction of cerebral blood flow restoration after extracranial-intracranial bypass surgery using superficial temporal artery duplex ultrasonography (STDU).- Venous system.- Neurosurgery and the intracranial venous system.- Decompressive craniectomy in severe cerebral venous and dural sinus thrombosis.