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 Cerebral Aneurysm/Cerebral Arteriovenous Malformation

To treat aneurysms, two therapy options are available: surgical clipping (craniotomy) or coiling (endovascular treatment).

Surgical Clipping
Surgical clipping is a radical cure for aneurysm. Before the surgery, a 3-dimensional scan is used to diagnose the aneurysm and simulate what the aneurysm will look like with the planned craniotomy range, and whether the surrounding blood vessels will interfere with the clipping. In general, craniotomy is performed from the shortest distance to the aneurysm. Without making any incision into the brain, the aneurysm is exposed using the space around the brain. After securing the surrounding blood vessels, a clip is placed in the gneckh (narrow part) of the cerebral aneurysm to complete the surgery.
Cerebral Aneurysm
Before the clipping After the clipping
Endovascular Treatment
Treatment for cerebral aneurysm/cerebral arteriovenous malformation, by inserting a catheter through a pinhole in the artery of the thigh or wrist. An extremely thin catheter is placed inside the aneurysm, and platinum coils are packed inside.

Gamma Knife Surgery
This procedure is preformed to treat cerebral arteriovenous malformation. If the lesion is small, it can disappear in several years, but there are cases where combining with endovascular treatment and/or surgical therapy must also be considered.

Cerebral Arteriovenous Malformation
At the time of gamma knife procedure Three years post-treatment
Physicians on staff
Hisao Hirai, M.D., Ph.D.
PXXP Department of Neurosurgery, Shiga University of Medical Science
PXXQ Department of Neurosurgery, Nagahama Red Cross Hospital
PXXT Department of Neurosurgery, Rakusai Shimizu Hospital
PXXX Department of Neurosurgery, Hino Kinen Hospital
QOOP Department of Neurosurgery, Kotoh Kinen Hospital
QOOS Trained at Kalorinska University (Sweden)
Takuro Inoue, M.D., Ph.D.
PXXP Department of Neurosurgery, Shiga University of Medical Science
PXXQ Department of Neurosurgery, Osaka Prefecture Saiseikai Hospital
PXXS Department of Neurosurgery, Daini Okamoto General Hospital
PXXW Studied at University of British Columbia (Canada)
PXXX Department of Neurosurgery, Hino Kinen Hospital
QOOS Trained at Kalorinska University (Sweden)
QOOV Trained at Duke University (U.S.A.)
QOPP Department of Neurosurgery, Kotoh Kinen Hospital
QOPT Consultant, Department of Neurosurgery, Andalusia Hospital (Alexandria, Egypt)


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