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Neurosurgical Management of Aneurysmal Subarachnoid Haemorrhage.
  1. PETER KIRKPATRICK

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    Neurosurgical Management of Aneurysmal Subarachnoid Haemorrhage.Edited by iver a langmoen, tryggve lundar, rune aaslid, and hans-j reulen (Pp 177, DM140). Published By Springer-Verlag, Wien, 1999. ISBN 3 211 83256 4.

    The editors have gathered contributions on aneurysmal subarachnoid haemorrhage from several authors, each chapter dealing with a particular component of the subject and its up to date management. Chapters 1 to 3 cover the pathology, aetiology, and pathophysiology; the next two chapters are concerned with the monitoring of neurointensive care of the condition. They are succeeded by sections on the technical aspects of surgical treatment and finally the assessment of functional outcome is discussed in the last chapter.

    The format of the chapters is consistent and they are well written, the coverage of the aetiology of cerebral vasospasm being especially comprehensive. The chapter entitled Hemodynamics of Cerebrovascular Spasm, I found to contain original and stimulating ideas. Much of the remainder of the book consists of summaries of technical issues many of which have been covered in previous publications. My main criticism is the omission of any mention of the integration of endovascular methods, without which a modern book on the topic of aneurysmal subarachnoid haemorrhage and its neurosurgical management must be considered incomplete.

    I am happy to recommend this book to neurovascular specialists and surgeons in training, with the aforementioned warning that it is inadvisable to approach intracranial aneurysms in isolation without having considered the endovascular options. That said, this will prove to be a useful contribution to the literature on the subject.

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