By H.-P. Jensen (auth.), Prof. Dr. Hans-Peter Jensen, Prof. Dr. Mario Brock, Priv.-Doz. Dr. Margareta Klinger (eds.)

This quantity of ADVANCES IN NEUROSURGERY provides the unique texts of 60 papers brought on the thirty third annual assembly of the German Neuro­ surgical Society held in Kiel from could sixteenth to twentieth, 1982. those papers signify a range from a few 162 papers submitted and ninety six really given. the choice used to be made by way of the society's programme committee, of which Professor W. J. BOCK, Professor H. DIETZ and Professor W. GROTE also are contributors. i need to take this chance to precise my honest because of them for his or her untiring cooperation. The medical programme handled 3 major issues: 1. Acute, non-traumatic intracranial hemorrhages, an issue that has consistently been of significance for neurological surgeons because the ana­ tomist Giovanni Battista MORGAGNI in 1791 first defined intimately the scientific photograph and the pathological and anatomical reasons of a mind hemorrhage he had saw in his servant. certainly, at our thirty first annual assembly in Erlangen in 1980 "Timing difficulties in Sub­ arachnoid Hemorrhages" used to be one of many major subject matters of dialogue. For this year's assembly a cooperative examine within which 27 college and health center departments of neurosurgery participated enabled us to appear into the factors and the diagnostic and healing measures excited about plenty of situations of intracranial hemorrhage.

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Beginning with the third week vascular proliferation and formation of an increasing capsule of granulation tissue is observed pathologically (6, 9, 12). The blood-brain barrier function of these new-formed vessels-is-rncomplete and extravasation of contrast medium besides increased vascularity are probably the underlying mechanisms of ring formation in the late stage II and stage III. Table 5. Stages of hematoma resorption in enhanced CT (hematoma size > 2 x 2 cm) I Hematoma of homogeneously increased density.

Pp. 93-123. Wien, New York: Springer 1978 7. : Ruptured intracranial aneurysms. Case morbidity and mortality. J. Neurosurg. ii, 290-295 (1977) 8. , etal. ): Intracranial aneurysms and subarachnoid hemorrhage. A Cooperative Study. Philadelphia: J. B. Lippincott Co. 1969 9. : Surgical treatment of cerebral aneurysms and arteriovenous malformations. Neurol. Medicochir. 128-131 (1965) 2, 10. : Results and complications of surgical management of 809 intracranial aneurysms in 722 cases. Related and unrelated to grade of patient, type of aneurysm and timing of surgery.

Representative cases in correlation to the angiogram are demonstrated in the Fig. 1 - 4. Discussion Multi-plane dynamic CT cannot be used for evaluation of the time course of enhancement patterns. It only enables a better approach to the intracranial morphology and especially to the vascular system, while functional studies are only possible by single-plane dynamic CT (~). The role of multi-plane dynamic CT in the detection of small intracranial aneurysms in our series of 19 cases is obvious, with a diagnostic accuracy which approaches 100%.

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