Results of surgical treatment of pericallosal aneurysms.

Thomas, Deepak; Paterson, Alastair

doi:10.1136/jnnp.38.8.826-b

Cited by 17 publications

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“…Thomas and Paterson reported no direct relation between the presence of ICH and the final outcome. [ 19 ] However, Wisoff and Flamm[ 10 ] noted that patients with good grade did not have ICH, while ICH and clinically significant vasospasm were observed in poor grade patients.…”

Section: Discussionmentioning

confidence: 99%

Surgical strategies and outcomes for distal anterior cerebral arteries aneurysms

Orz

2011

Asian J Neurosurg

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Background:Distal anterior cerebral artery (DACA) aneurysms are rare and their surgical treatment presents some unique difficulties. In this report, we present our experience of cases with DACA aneurysms.Materials and Methods:Among 80 patents with cerebral aneurysm operated on in the three-year period, 15 patients (18.75%) had DACA aneurysms, who were studied retrospectively. We analyze the specific clinical and radiological features, surgical strategies and prognostic factors affecting the surgical outcomes of these DACA aneurysms.Results:There were 10 male and 5 female patients harboring 16 DACA aneurysms. All patients presented with subarachnoid hemorrhage, 11 patients (73%) had intracerebral hematoma in their initial CT scan and four of them had associated intraventricular hemorrhage. Thirteen of the ruptured DACA aneurysms (86%) were small in size (less than 7 mm in diameter). Three patients (20%) had other associate aneurysms. In 14 patients (93%), a unilateral interhemispheric approach was used in their treatment, while pterional approach was used in one patient. Eleven patients (73%) had favorable outcomes and only one patient (7%) died. The follow-up data suggested that poor admission grade and initial Intracerebral hematoma (ICH) on brain scan portend an unfavorable prognosis.Conclusions:DACA aneurysms are usually small even when ruptured, they are usually associated with ICH more frequently than intracranial aneurysms in other locations. They should be aggressively treated even if very small because of their tendency to early rupture.

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Section: Discussionmentioning

confidence: 99%

Surgical strategies and outcomes for distal anterior cerebral arteries aneurysms

Orz

2011

Asian J Neurosurg

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“…[21][22][23] However, due to advances in microsurgery and a greater understanding of the anatomy, improved outcomes have been achieved with surgery. [21][22][23] However, due to advances in microsurgery and a greater understanding of the anatomy, improved outcomes have been achieved with surgery.…”

Section: Discussionmentioning

confidence: 99%

Rapid regrowth of a successfully coiled traumatic pericallosal aneurysm

Yuen¹,

Kuo²,

Ho³

et al. 2007

Journal of Clinical Neuroscience

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“…The rare aneurysms of the peripheral anterior branches are well known and were described in detail by many authors (Sugar and Tinsley 1948, Laitinen and Snellman 1960, Pertuiset, Lepoire, Boudin, and Cabezas 1961, Wilson, Christensen, and Subrahmanian 1965, Fisher and Ciminello 1966, Dechaume, Aimard, Michel, Bret, Desgeorges, Lapras, and Lecuire 1973, Ya~argil and Carter 1974, Thomas and Paterson 1975.…”

Section: B3 Aneurysrns Of Peripheral Branchesmentioning

confidence: 96%

Classification of aneurysms of the internal carotid system

Pia

1978

Acta neurochir

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Microsurgery has improved the treatment of cerebral aneurysms techically and by more detailed knowledge of the topographic relations, the variations, and the anomalies of the involved arteries. A personal study of 450 aneurysms formed the basis of a modified and more detailed classification of aneurysms of the carotid system. It was confirmed that aneurysms originate at the junctions of arteries, and generally project according to the course of the vessel involved. The origins and projections aneurysms and their different sites were analyzed with the aid of angiography, angiotomography, magnification angiography, operative drawings, photographs, and films, which permitted the establishment of a special classification for every particular form. Preoperative knowledge of the types of aneurysms facilitates the surgical procedures and results in lowered morbidity.

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Results of surgical treatment of pericallosal aneurysms.

Cited by 17 publications

References 0 publications

Surgical strategies and outcomes for distal anterior cerebral arteries aneurysms

Surgical strategies and outcomes for distal anterior cerebral arteries aneurysms

Rapid regrowth of a successfully coiled traumatic pericallosal aneurysm

Classification of aneurysms of the internal carotid system

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