Download - Clinical Neuroanatomy
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 UniversityNeuroscience Center – Neurosurgery Department - Siloam Hospitals
Circle of willis Anatomy
STROKE
Ischemic Hemorhagic
Bypass Hemi-Craniectomy Hipertensive (80 %) Non-hipertensive
Konservative Operative
• Mass effect• Superficial• Hidrocephalus
• Aneurysm• AVM• Cavernoma
STROKE
Ischemic Hemorhagic
Bypass Hemi-Craniectomy Hipertensive (80 %) Non-hipertensive
Konservative Operative
• Mass effect• Superficial• Hidrocephalus
• Aneurysm• AVM• Cavernoma
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
600 Cases of Aneurysm Surgeryin Siloam Hospital
• Female : 365• Male : 235
• Ruptured : 499• Unruptured : 101
TOTAL : 600
Since January 1996
Posterior Communicating Artery Aneurysm
Middle Cerebral Artery Aneurysm surgery CASE REPORT
Giant Aneurysm surgery CASE REPORT
Definition:
Vascular anomaly characterized by the presence of
sinusoidal-like capillary vessels.
Epidemiology:
Comprise 5-13% of CNS vascular malformation
Location: Mainly Supra tentorial, 10-23% are in posterior
fossa, mostly in the pons.
Supra Tentorial Lesion
Infra Tentorial Lesion