Document Detail


Computerized tomography (CT) localized stereotactic craniotomy for excision of a bacterial intracranial aneurysm.
MedLine Citation:
PMID:  8545779     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: The treatment of bacterial intracranial aneurysms include long-term antibiotic therapy and surgical clipping or resection. Direct surgical approaches to these aneurysms are often complicated by their peripheral location. METHODS: We report the use of a computerized tomography (CT) localized stereotactic craniotomy for the excision of a ruptured peripheral bacterial intracranial aneurysm. RESULTS: The Leksell Steiner-Lindquist microsurgical guide, with its fiberoptic helium-neon laser, allowed for rapid isolation of the distal aneurysm with minimal cerebral dissection. Since the inflammatory lesion was well demonstrated on postcontrast CT scan, this modality, rather than angiography, was used for localization. CONCLUSIONS: In the future, stereotactic craniotomy may facilitate aggressive surgical therapy for infectious aneurysms previously thought not suitable for direct operative approach.
Authors:
E H Elowiz; W D Johnson; T H Milhorat
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Surgical neurology     Volume:  44     ISSN:  0090-3019     ISO Abbreviation:  Surg Neurol     Publication Date:  1995 Sep 
Date Detail:
Created Date:  1996-02-09     Completed Date:  1996-02-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0367070     Medline TA:  Surg Neurol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  265-9     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, State University of New York Health Science Center at Brooklyn, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aneurysm, Infected / microbiology,  radiography,  surgery*
Aneurysm, Ruptured / microbiology,  radiography,  surgery*
Craniotomy / methods*
Female
Humans
Intracranial Aneurysm / microbiology,  radiography,  surgery*
Stereotaxic Techniques*
Streptococcal Infections / microbiology,  radiography,  surgery*
Tomography, X-Ray Computed*

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


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