Document Detail


Clinical features and surgical outcomes of ruptured distal anterior cerebral artery aneurysms in 20 consecutively managed patients.
MedLine Citation:
PMID:  19299140     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Optimal surgical management of ruptured aneurysms of the distal anterior cerebral artery continues to provide unique technical challenges. This study presents 20 consecutively managed such patients, with special attention given to the clinical and radiological characteristics, as well as the surgical outcomes. Intracerebral hematoma was seen in 11 of the 20 patients, and intraventricular hemorrhage occurred in 4 (20%). Angiography revealed that 9 (45%) patients had multiple aneurysms. Three patients (15%) had "mirror" distal anterior cerebral arterial aneurysms on the contralateral side. Eleven patients (55%) had aneurysms located at the supracallosal portion of the anterior cerebral artery, while 9 patients (45%) had aneurysms located below the genu of the corpus callosum. The mean aneurysmal diameter was 3.85 mm; 18 aneurysms (90%) were less than 6 mm in diameter. Eighteen patients (90%) underwent a microsurgical procedure; 2 (10%) underwent endovascular coiling due to poor clinical grade. A favorable outcome was achieved in 14 (70%) patients. Advances in microsurgical techniques will be required to further improve clinical outcome.
Authors:
Naoki Otani; Yoshio Takasato; Hiroyuki Masaoka; Takanori Hayakawa; Yoshikazu Yoshino; Hiroshi Yatsushige; Kyoko Sumiyoshi; Hiroki Miyawaki; Chikashi Aoyagi; Satoru Takeuchi; Go Suzuki
Publication Detail:
Type:  Journal Article     Date:  2009-03-18
Journal Detail:
Title:  Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia     Volume:  16     ISSN:  0967-5868     ISO Abbreviation:  J Clin Neurosci     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-05-04     Completed Date:  2009-08-05     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9433352     Medline TA:  J Clin Neurosci     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  802-6     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, National Hospital Organization Disaster Medical Center, 3256 Midori, Tachikawa, Tokyo 190-0014, Japan. naotani@tdmc.hosp.go.jp
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Anterior Cerebral Artery / pathology*,  radiography*,  surgery
Brain / blood supply,  pathology,  physiopathology
Cerebral Angiography
Diuretics, Osmotic / therapeutic use
Embolization, Therapeutic / instrumentation,  methods
Emergency Medical Services / methods
Female
Humans
Hydrocephalus / etiology,  physiopathology,  therapy
Intracranial Aneurysm / pathology*,  radiography*,  surgery
Intracranial Hypertension / drug therapy,  etiology,  physiopathology,  prevention & control,  therapy
Male
Middle Aged
Neurosurgical Procedures / instrumentation,  methods
Postoperative Complications / etiology,  physiopathology
Prostheses and Implants
Retrospective Studies
Tomography, X-Ray Computed
Treatment Outcome
Vascular Surgical Procedures / instrumentation,  methods
Vasospasm, Intracranial / etiology,  physiopathology,  therapy
Chemical
Reg. No./Substance:
0/Diuretics, Osmotic

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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