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Surgery of Vertebrobasilar Aneurysms

London, Ontario Experience on 1767 Patients

  • Charles G. Drake
  • Sydney J. Peerless
  • Juha A. Hernesniemi

Table of contents

  1. Front Matter
    Pages I-XX
  2. Charles G. Drake, Sydney J. Peerless, Juha A. Hernesniemi
    Pages 1-6
  3. Charles G. Drake, Sydney J. Peerless, Juha A. Hernesniemi
    Pages 7-16
  4. Charles G. Drake, Sydney J. Peerless, Juha A. Hernesniemi
    Pages 17-41
  5. Charles G. Drake, Sydney J. Peerless, Juha A. Hernesniemi
    Pages 42-54
  6. Charles G. Drake, Sydney J. Peerless, Juha A. Hernesniemi
    Pages 55-67
  7. Charles G. Drake, Sydney J. Peerless, Juha A. Hernesniemi
    Pages 68-94
  8. Charles G. Drake, Sydney J. Peerless, Juha A. Hernesniemi
    Pages 95-109
  9. Charles G. Drake, Sydney J. Peerless, Juha A. Hernesniemi
    Pages 110-118
  10. Charles G. Drake, Sydney J. Peerless, Juha A. Hernesniemi
    Pages 119-132
  11. Charles G. Drake, Sydney J. Peerless, Juha A. Hernesniemi
    Pages 133-142
  12. Charles G. Drake, Sydney J. Peerless, Juha A. Hernesniemi
    Pages 143-166
  13. Charles G. Drake, Sydney J. Peerless, Juha A. Hernesniemi
    Pages 167-176
  14. Charles G. Drake, Sydney J. Peerless, Juha A. Hernesniemi
    Pages 177-194
  15. Charles G. Drake, Sydney J. Peerless, Juha A. Hernesniemi
    Pages 195-206
  16. Charles G. Drake, Sydney J. Peerless, Juha A. Hernesniemi
    Pages 207-220
  17. Charles G. Drake, Sydney J. Peerless, Juha A. Hernesniemi
    Pages 221-229
  18. Charles G. Drake, Sydney J. Peerless, Juha A. Hernesniemi
    Pages 230-248
  19. Charles G. Drake, Sydney J. Peerless, Juha A. Hernesniemi
    Pages 249-255
  20. Charles G. Drake, Sydney J. Peerless, Juha A. Hernesniemi
    Pages 256-266
  21. Charles G. Drake, Sydney J. Peerless, Juha A. Hernesniemi
    Pages 267-268
  22. Charles G. Drake, Sydney J. Peerless, Juha A. Hernesniemi
    Pages 269-274
  23. Charles G. Drake, Sydney J. Peerless, Juha A. Hernesniemi
    Pages 275-279
  24. Charles G. Drake, Sydney J. Peerless, Juha A. Hernesniemi
    Pages 300-311
  25. Back Matter
    Pages 312-329

About this book

Introduction

It is a great privilege to write the foreword for this classical work of Professor Charles Drake. There is no doubt that intracranial aneurysms have existed since the beginning of time. This terrifying disease of the brain arteries, with its dramatic consequences for the patient, has surely been observed in all human collectives, although clear definition and description in the literature began only 300 years ago. During the last century, clinical signs and symptoms have been carefully observed and analyzed, and 100 years ago, the first attempts were made for surgical treatment, such as the ligature of external and internal carotid and vertebral arteries. With the introduction of angiography, an entirely new dimension of diagnosis and differential diagnosis of the vascular diseases of CNS, was accomplished. In the years between 1945 and 1970, the neurosurgeon was increasingly stimulated to directly eliminate intracranial aneurysms. The most respected and avoided location, the aneurysms at the bifurcation of the basilar artery, remained as a "dark corner. " Several pioneers of neurosurgery attempted to explore the interpeduncular fossa, but finally retreated. Not so Charles Drake. His vision must have been stronger than his anxiety, after experiences of initial fatalities, to persevere more decisively in this desperate fight instead of to yield. Such steadfastness requires enormous courage. But what distin­ guishes courage! Surgical courage is not just a fearless or unscrupulous action.

Keywords

Hydrocephalus anatomy anesthesia aneurysm brain circulation classification neuroradiology neuroscience neurosurgery radiology surgery surgical technique

Authors and affiliations

  • Charles G. Drake
    • 1
    • 2
  • Sydney J. Peerless
    • 2
  • Juha A. Hernesniemi
    • 3
  1. 1.Department of SurgeryUniversity of Western Ontario, University HospitalLondonCanada
  2. 2.Division of NeurosurgeryUniversity of Western Ontario, University HospitalLondonCanada
  3. 3.Department of NeurosurgeryUniversity Hospital of KuopioKuopioFinland

Bibliographic information