Dr. M. D. Lusk composed much of the work on hemodynamics of AVMs. Dr. R.D. Smith, New Orleans, reviewed and compiled the clinical material.
Professor P. Kleihues reviewed the section on pathogenesis. Professor R. Meyermann contributed the section on histology and electron microscopic findings. Dr. H. G. Imhof reviewed the statistics regarding hemodynamics.
Virtually the entire work was then reorganized and expanded. Many new ideas and concepts were introduced and older ones reevaluated in the light of more recent literature. The manuscripts were then redrafted. In doing this I was helped by my colleagues Professor A. Valavanis and Dr. P.J. Teddy, to whom I owe special thanks.
Dr. K. R. Smith, St. Louis, reviewed the manuscript during his visit to Zurich in summer 1986. Final careful review of the entire manuscript with corrections and proofreading of the galley proofs were then done by Dr. G. F. Cravens, Dr. M. V. Reichman and Dr. M. V. Yancey.
The anatomical pictures, figures, and the text were contributed by Professor St. Kubik.
Mr. O. Reinhard and his co-workers (Department of Surgical Photography), produced the excellent photographic reproductions for the text.
One of the most outstanding contributions to the whole series of these books has been that of Mr. P. Roth. He has done all of the drawings and diagrams and helped me meticulously in preparing the lay-out and the corrections.
A very special thanks goes to both Mrs. M. Traber and Mrs. M. Jent who worked wonders with typing of the manuscript, verification of statistics and literature references, and deciphering illegible handwriting.
Finally I would like to cordially thank Dr. h.c. G. Hauff, owner of Georg Thieme Verlag, and his staff, especially Mr. R. Zeller, for their help, cooperation and patience in the preparation of these volumes.
M. G. Yaşargil
Preface
The operative treatment of vascular malformations using microsurgical techniques began in Zurich in January 1967. During the next 20 years, 414 patients with AVM of the brain and 71 with spinal AVM have been treated surgically. In the same time period 86 patients with cerebral AVM were discharged from our department without operation: In 40 cases the AVMs were operable but the patients refused surgery; in 24 cases the risk of neurological deficits delayed the decision for operative intervention until a later time; in 22 cases (22/500 = 4.4%) the lesion was deemed inoperable.
The present volumes III A–III B are intended to relate and analyze our experience gained in the evaluation of 414 operated and 86 nonoperated patients with intracranial AVMs, to review what has been accomplished before and since the advent of microsurgical techniques and to identify the problems remaining in the treatment of these often difficult lesions. Other operated intracranial vascular lesions such as cavernomas (22 cases) and venous angiomas (5 cases) of the brain are also covered briefly. Interventional neuroradiological and surgical procedures for the treatment of cranial dural, spinal dural and medullary AVMs, and of carotid-cavernous fistulae are not included and will form separate subsequent monographs.
The third volume, part A, contains:
History, embryology, pathological considerations, hemodynamics, Doppler-techniques, neuroradiology, neurosurgical anatomy, microcirculation, anatomy of the calcarine sulcus.
The third volume, part B, contains:
General operative techniques, the specific treatment and results of surgery for AVMs of specific locations like convexial (frontal, temporal, insular, parietal, occipital and cerebellar) and deep central (limbic system, corpus callosum, striocapsulothalamic, meso-diencephalic, vein of Galen, splenial, plexal, pontine), special and general statistics regarding morbidity and mortality, complications, the follow-up of nonoperated cases, and a chapter concerning the cavernous and venous angiomas and finally a chapter on neuroanesthesia technique, as utilized in Zurich.
M. G. Yaşargil
Contents
A Short History of the Diagnosis and Treatment of Cerebral AVMs
Treatment of Extracranial AVM in Earlier and Present Time
The Contributions of Virchow and his Contemporaries
Early Clinical Observations on Intracranial AVMs
Surgical Treatment of Cerebral AVMs (1889–1930)
Neurosurgical Approaches Prior to the Introduction of Angiography (1928)
Neurosurgical Treatment of Intracranial AVM Following the Introduction of Angiography (1930)
Conservative versus Surgical Treatment
Miguel Marin-Padilla
A. Embryogenesis of the Early Vascularization of the Central Nervous System
Perineural Vascular Territory of the CNS Vasculature
