Variations of perforating arteries of anterior communicating artery in cases with anterior communicating artery aneurysms: a cadaveric anatomical study

Kuytu, Turgut; Kocaelı, Hasan; Korfalı, Ender

doi:10.1007/s00701-022-05253-3

Cited by 2 publications

(1 citation statement)

References 36 publications

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“…In a study investigating the age and surgical approach based on the location of an aneurysm among 43 patients aged ≥ 65 years with anterior communicating artery aneurysms, 17 patients experienced a decline in cognitive function following microsurgical clipping [35]. This can be attributed to frontal lobe retraction; rectus gyrus resection; and damages to the anterior hypothalamus, nucleus accumbens, and basal nucleus of Meynert, which are commonly supplied by anterior communicating artery perforators [36][37][38][39]. Additionally, advanced age ( > 65 years) [11,40,41], interhemispheric approach [35], operative time > 5 hours [41], and presence of preoperative brain damage [33] are risk factors for postoperative cognitive impairment.…”

Section: Cognitive Functionmentioning

confidence: 99%

Unruptured intracranial aneurysms in older adults: special considerations for treatment and management

Choi,

Jeong,

Park

et al. 2024

J Korean Soc Geriatr Neurosurg

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Unruptured intracranial aneurysms (UIAs) in older adults present unique challenges due to distinct treatment considerations. The increasing age of the global population necessitates a deeper understanding of the natural history and rupture risks of UIAs in older adults, as well as special considerations relevant to this demographic group. Furthermore, determining the optimal treatment strategy in older adults remains challenging due to factors such as reduced life expectancy, comorbidities, and frailty. Conservative management may be appropriate for low-risk aneurysms, while endovascular treatments offer advantages in selected cases. Microsurgical clipping remains a viable option, although it may pose higher perioperative risks in older patients. In this review, we provide a comprehensive understanding of UIAs in older adults. A tailored approach considering age, comorbidities, and aneurysm characteristics can optimize treatment outcomes.

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