CLINICAL NEUROANATOMY

Prof. DR. DR. EKA J. WAHJOEPRAMONO,M.D.,PhD.Yesaya , Julius, Harsan, Lutfi, Binsar, Made, Ferry, Firdaus, Evelyn, Ronny, Maximilan, Eko, Onnie, Wily, Gde

Faculty of Medicine - Pelita Harapan UniversityNeuroscience Center – Neurosurgery Department - Siloam Hospitals

Circle of willis Anatomy

STROKE

Ischemic Hemorhagic

Bypass Hemi-Craniectomy Hipertensive (80 %) Non-hipertensive

Konservative Operative

• Mass effect• Superficial• Hidrocephalus

• Aneurysm• AVM• Cavernoma

STROKE

Ischemic Hemorhagic

Bypass Hemi-Craniectomy Hipertensive (80 %) Non-hipertensive

Konservative Operative

• Mass effect• Superficial• Hidrocephalus

• Aneurysm• AVM• Cavernoma

LOCATION:• IC – P Com :

240• Anterior Communicating Artery : 103• Middle Cerebral Artery :

70• Basilar Artery :

58• Vertebral Artery :

45• Pericallosal Artery :

34• IC – Ophthalmic Artery :

20• Other :

30

TOTAL : 600

600 Cases of Aneurysm Surgeryin Siloam Hospital

• Female : 365• Male : 235

• Ruptured : 499• Unruptured : 101

TOTAL : 600

Since January 1996

Posterior Communicating Artery Aneurysm

Middle Cerebral Artery Aneurysm surgery CASE REPORT

Giant Aneurysm surgery CASE REPORT

Definition:

Vascular anomaly characterized by the presence of

sinusoidal-like capillary vessels.

Epidemiology:

Comprise 5-13% of CNS vascular malformation

Location: Mainly Supra tentorial, 10-23% are in posterior

fossa, mostly in the pons.

Supra Tentorial Lesion

Infra Tentorial Lesion