Clinical Work

Collection of Dr. Krisht publications for Fellows Studying

1.Cavernous sinus approach

Cavernous sinus anatomy

The middle cranial base and cavernous sinus . A. L. Rhoton. 6

Microsurgical Anatomy of the Cavernous Sinus. Ali F. Krisht 29

Surgical anatomy of the dural walls of the cavernous sinus. Rhoton 34

MICROSURGICAL ANATOMY AND APPROACHES TO THE CAVERNOUS SINUS. Rhoton 39

Cavernous sinus approach

Evolution from the classical pterional to the contemporary approach to the central skull base. V. V. Dolenc 63

Surgical treatment of basilar apex aneurysms – surgical approaches and techniques E. de Oliveira 77

Cavernous sinus meningiomas O. Al-Mefty 87

PTERIONAL /ORBITAL–PTERIONAL CRANIOTOMY. Ali krisht 101 *Transcavernous approach to diseases of the anterior upper third of the posterior fossa. Ali krisht 112

Aneurysms

Paraclinoid

Paraclinoid Aneurysms Part 1: Superior (True Ophthalmic) Aneurysms 122 *Paraclinoid Aneurysms Part II: Inferior Paraclinoid 128

Paraclinoid Aneurysms Part III: Lateral Aneurysms 134

Paraclinoid Aneurysms Part IV: Medial Aneurysms 140

Carotid artery aneurysm

Bilateral internal carotid artery aneurysm simulating pituitary apoplexy Case report 146 *The Microsurgical Anatomy of the Superior Hypophyseal Artery 149

Pcom

Immediate results of microsurgical clipping of posterior communicating artery aneurysms using the pretemporal transclinoidal approach 157

Acom

Surgical clipping of anterior communicating artery aneurysms 162

Intraoperative transaneurysmal coil-assisted clip occlusion of a complex anterior communicating artery aneurysm 165

MCA

Middle cerebral artery aneurysm surgical techniques 169

PICA

Technical strategies to approach aneurysms of the vertebral and posterior inferior cerebellar arteries 174

Diagnosis and surgical management of extracranial PICA aneurysms presenting through subarachnoid haemorrhage Case report 179

Basilar apex

The transcavernous approach to Basilar Aneurysm 183

SURGICAL CLIPPING OF COMPLEX BASILAR APEX ANEURYSMS: A STRATEGY FOR SUCCESSFUL OUTCOME USING THE PRETEMPORAL TRANSZYGOMATIC TRANSCAVERNOUS APPROACH 188

RESULTS OF MICROSURGICAL CLIPPING OF 50 HIGH COMPLEXITY BASILAR APEX ANEURYSMS 201

Dividing the Posterior Communicating Artery in Approaches to the Interpeduncular Fossa Technical Aspects and Safety 212

THE PERFORATOR-FREE ZONE OF THE POSTERIOR COMMUNICATING ARTERY AND ITS RELEVANCE IN APPROACHES TO THE INTERPEDUNCULAR CISTERN 218 *Mobilization of the Transcavernous Oculomotor Nerve During Basilar Aneurysm Surgery: Biomechanical Bases for Better Outcome 224

Other

Concomitant ruptured anterior circulation and unruptured posterior circulation aneurysms: Treatment strategy and review of literature 234

Outcome of surgical clipping of unruptured aneurysms as it compares with a 10-year nonclipping survival period 241

Treatment of Experimental Aneurysms Using Collagen-coated Microcoils Experimental Study 251

Histologic effects of collagen-filled interlocking detachable coils in the ablation of experimental aneurysms in swine 263

Symptomatic and silent ischemia associated with microsurgical clipping of intracranial aneurysms Evaluation with diffusion 269

The impact of minimizing brain retraction in aneurysm surgery Evaluation using magnetic resonance imaging 275

MRI-validation of SEP monitoring for ischemic events during microsurgical clipping of intracranial aneurysms 280

3.Bypass

Cerebral Revascularization Part I: Indications and Evaluation 285

Cerebral Revascularization Part II: Techniques 293

An Anatomic Mathematical Measurement to Find an Adequate Recipient M4 Branch for Superficial Temporal Artery to Middle Cerebral A 299

The sutureless excimer laser assisted non-occlusive anastomosis (SELANA) A feasibility study in a pressurized cadaver model 304

Rapid M1 hemoclips arteriotomy repair after emergency coil embolectomy 311

4.Malformations

Combined pretemporal and endovascular approach to the cavernous sinus for the treatment of carotid cavernous durai fistula 318

Epidural skull base approach for dural arteriovenous fistulas (DAVF) of the anterior and middle cranial fossa 322

Transverse-sigmoid sinus Dural arteriovenous malformations 325

Obliteration of carotid-cavernous fistulas using direct surgical and coil-assisted embolization Technical case report 331

5.Meningiomas

Cavernous sinus meningioma

Cavernous sinus tumor model in the canine A simulation model for cavernous sinus tumor surgery 335

Taming the Cavernous Sinus Technique of Hemostasis Using Fibrin Glue 341

Clinoidal Cone tumor

The Clinoidal Cone: Microsurgical Anatomy 346

The Clinoidal Cone: Indications and Surgical Techniques For its Removal 352 *Radioguided improved resection of a skull base meningioma Technical note 358

6.Gliomas

Insular gliomas 1 anatomy of the Sylvian Cistern 362

Insular gliomas 2 Opening of the Sylvian Fissure 370

Insular gliomas 3 Pathophysiology and Clinical Presentation 375

Insular gliomas 4 Surgical Treatment and Outcome 381

Biocompatible Amniotic Sac Implant Maintains a Scar Free Brain Surface During Recurrent Glioma Surgery 389

7.Pituitary adenomas

The Transsphenoidal Approach and Its Variants: Part I 410

The Transsphenoidal Approach and Its Variants: Part II 416

ECTOPIC SUPRASELLAR GROWTH HORMONE-SECRETING PITUITARY ADENOMA: CASE REPORT 421

Ectopic recurrence of craniopharyngiomas Case report 425

8.Cavernoma