Michael J. Lang Archives

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Surgical Management of Anterior Communicating and Anterior Cerebral Artery Aneurysms

The anterior communicating artery (ACoA) aneurysm is the most common aneurysm encountered in neurosurgical practice, accounting for one-quarter to one-third of all microsurgically treated aneurysms in published experiences and 18.4% of the senior author’s experience with 4545 aneurysms. This aneurysm…

Classification Systems

Pearls Multimodality intervention for iAVM therapy complicates the specific surgical, endovascular, and radiosurgical risk-assessment systems. The most commonly applied classification for assessing surgical risk is the Spetzler-Martin grading system ( Table 8.1 ). Table 8.1 Surgical iAVM Classifications a Classification…