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  • Prof. Dr. Dr. Eka J. Wahjoepramono, M.D.,PHD

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    Andrew Sabastian Geraldyno Paago
    158 views52 pages
    This document provides an overview of clinical neuroanatomy and various neurosurgical procedures. It discusses different types of strokes, including hemorrhagic and ischemic strokes. It also outlines surgical techniques for treating strokes, such as bypass surgery and hemi-craniectomy. Additionally, the document examines various neurovascular conditions like aneurysms, arteriovenous malformations (AVMs), cavernous angiomas, and carotid-cavernous fistulas. It provides details on the pathology, angiography, surgical aspects, and case reports for several of these conditions. The document concludes with a discussion of brainstem cavernous angioma surgery.

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    Lecture about clinical Neuroanatomy by Prof. DR. dr. Eka Sp.BS

    Original Title

    Clinical Neuroanatomy

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    This document provides an overview of clinical neuroanatomy and various neurosurgical procedures. It discusses different types of strokes, including hemorrhagic and ischemic strokes. It also outlines surgical techniques for treating strokes, such as bypass surgery and hemi-craniectomy. Additionally, the document examines various neurovascular conditions like aneurysms, arteriovenous malformations (AVMs), cavernous angiomas, and carotid-cavernous fistulas. It provides details on the pathology, angiography, surgical aspects, and case reports for several of these conditions. The document concludes with a discussion of brainstem cavernous angioma surgery.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    158 views52 pages

    Prof. Dr. Dr. Eka J. Wahjoepramono, M.D.,PHD

    Uploaded by

    Andrew Sabastian Geraldyno Paago
    This document provides an overview of clinical neuroanatomy and various neurosurgical procedures. It discusses different types of strokes, including hemorrhagic and ischemic strokes. It also outlines surgical techniques for treating strokes, such as bypass surgery and hemi-craniectomy. Additionally, the document examines various neurovascular conditions like aneurysms, arteriovenous malformations (AVMs), cavernous angiomas, and carotid-cavernous fistulas. It provides details on the pathology, angiography, surgical aspects, and case reports for several of these conditions. The document concludes with a discussion of brainstem cavernous angioma surgery.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pptx, pdf, or txt
    of 52

    CLINICAL

    NEUROANATOMY

    Prof. DR. DR. EKA J. WAHJOEPRAMONO,M.D.,PhD.

    Yesaya , Julius, Harsan, Lutfi, Binsar, Made, Ferry, Firdaus, Evelyn, Ronny, Maximilan, Eko, Onnie, Wily, Gde

    Faculty of Medicine - Pelita Harapan University


    Neuroscience Center Neurosurgery Department - Siloam Hospitals

    Circle of willis Anatomy

    STROKE
    STROKE
    Hemorhagic

    Ischemic

    Bypass

    Hemi-Craniectomy

    Non-hipertensive

    Hipertensive (80 %)

    Konservative

    Operative

    Mass effect
    Superficial
    Hidrocephalus

    Aneurysm
    AVM
    Cavernoma

    Ischemic Stroke

    Bypass Surgery
    Anastomosis
    STA - MCA

    Bif Carotid Artery Stenosis

    Middle Cerebral Artery Stenosis

    Case Report

    STROKE
    STROKE
    Hemorhagic

    Ischemic

    Bypass

    Hemi-Craniectomy

    Non-hipertensive

    Hipertensive (80 %)

    Konservative

    Operative

    Mass effect
    Superficial
    Hidrocephalus

    Aneurysm
    AVM
    Cavernoma

    Hemorrhagic Stroke
    Hypertensive Stroke

    Case Report

    0 day

    11 days

    15 days

    600 Cases of Aneurysm Surgery


    in Siloam Hospital
    Female
    Male

    : 365
    : 235

    Ruptured
    : 499
    Unruptured : 101
    TOTAL

    : 600

    LOCATION:
    IC P Com
    : 240
    Anterior Communicating Artery : 103
    Middle Cerebral Artery
    : 70
    Basilar Artery
    : 58
    Vertebral Artery
    : 45
    Pericallosal Artery
    : 34
    IC Ophthalmic Artery
    : 20
    Other
    : 30
    TOTAL

    : 600

    Since January 1996

    Pathophysiology

    Surgical Aspect

    Angiography

    Posterior Communicating Artery Aneurysm

    3D - CT

    Anterior Communicating Artery Aneurysm

    urgery of Anterior Communicating Artery Aneurys

    Case Report :
    Surgery Of PCom Aneurysm

    Midle Cerebral Artery Aneurysm

    Vertebro-Basiler Aneurysm

    CASE
    Middle Cerebral Artery Aneurysm surgery
    REPORT

    CASE
    Giant Aneurysm surgery
    REPORT

    Arteriovenous malformation

    3D CT for AVM

    Surgery of Thrombosed Varyx AVMs

    Carotid-Cavernous Fistula

    Case Report
    Pre-Embolization

    Post-Embolization

    Pre-Embolization

    Post-Embolization

    Cavernous Angioma

    Definition:
    Vascular anomaly characterized by the
    presence of
    sinusoidal-like capillary vessels.

    Supra Tentorial Lesion

    Epidemiology:

    Comprise 5-13% of CNS vascular


    malformation
    Location: Mainly Supra tentorial,
    10-23% are in posterior fossa,
    Infra Tentorial Lesion
    mostly

    Brainstem Cavernous Angioma


    Pre-Op

    Surgery of Brainstem Cavernous Angioma


    Suboccipital-Midline Posterior Approach

    Post-Op

    Thank You

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