In this prospective study, the authors report their recent experience with 28 patients, using a combined surgical and endovascular team for the management of ACoA aneurysms from 2000 to 2007. Patients were divided into group A, which included 24 Micro surgical patients (18 of them with subarachnoid hemorrhage, group A1, and 6 with unbroken aneurysms, group A2); And group B, consisting of 4 patients treated with GDC embolization.

Endonasal endoscopic surgery is a tema surgery which requires learning of non-familiar surgical anatomy, use of new technologies and the development of new surgical skills. The major concerns during surgery are the identification of the internal carotid artery, optic nerves and preservation of small cerebral vessels. The potential for a disaster is great if the surgeon is unfamiliar with the anatomy, there is a lack of adequate equipment and clumsiness to maintain adequate visibility with the endoscope.

Peripheral nerve injuries represent a functional deficit of the affected limb that can be reversed if treated properly. The time at which an injury is operated together with the use of the careful microsurgical reconstruction technique, are the most important factors in the final treatment outcome. Open lesions with nerve involvement should be considered surgical in the short term. Closed lesions usually, with the exception of two exceptions described in the text, are scanned from three months to six months after trauma.

Spinal cysticercosis is rare (0.7-3.2%) even in endemic regions and may require more aggressive management due to the natural confines of the spinal canal. The condition of the lesion, its size, and the inflammatory response generated by cyst degeneration are important factors for the management of spinal CC. We report two cases of spinal cysticercosis in which patients underwent surgical treatment.