Below are Neurosurgery MCQs with Answers (No 1-10) from the topic Vascular Neurosurgery. Upon answering each question, the explanation will be displayed for quick learning and revision. At the end of the quiz your final score will be displayed.
Neurosurgery MCQs with Answers (1 to 10)
“Vascular neurosurgery has always been at the forefront of neurosurgical advances, requiring a combination of decision making, critical care support, microsurgical skill, and advanced surgical technology. The need to secure unstable intracranial aneurysms was identified by Harvey Cushing (1923), but the first modern-era clipping procedure was performed by Walter Dandy in 1937 (Dandy 1938). Since then, the progressive evolution of devices, particularly the operating microscope, has resulted in intracranial surgery to secure aneurysms presenting with subarachnoid hemorrhage, or otherwise, becoming routine procedure.
The latest era of aneurysm treatment has seen the meteoric rise and acceptance of endovascular treatment by interventional radiologists. Endosaccular obliteration by insertion of silver wire was first reported in 1941 (Werner et al 1941). During the 1970s and 1980s, the evolution of catheters and detachable devices, most importantly metal coils, resulted in the ability to secure intracranial aneurysms without the need for operative trauma or dissection to the brain. However, even the earliest studies of modern coiling techniques pointed towards some limitations of these techniques and suggested that some aneurysms might be more challenging or unsuitable for endovascular therapy (Vinuela et al 1997). These difficulties were partially addressed over the 1990s by development of balloon and stent-assisted coiling techniques.”
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References:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2293965/