Document Detail

Symptomatic unruptured cerebral aneurysms: features and surgical outcome.
MedLine Citation:
PMID:  20885113     Owner:  NLM     Status:  In-Process    
Development of less invasive imaging studies, such as magnetic resonance angiography, has increased the chances that unruptured cerebral aneurysms are found. The rupture risk of "symptomatic" aneurysms is higher than for "asymptomatic" aneurysms; so "symptomatic" aneurysms are more often surgically treated. Many reviews examine "asymptomatic" unruptured cerebral aneurysms, but few evaluate "symptomatic" aneurysms. The author has treated many patients with symptomatic unruptured cerebral aneurysms and found that improved cranial nerve signs can be expected if the surgical treatment is performed before the symptoms become irreversible; the critical period is approximately 3 months. It is important to suppress the pulsation of the aneurysms compressing the cranial nerves; both a clipping procedure and endovascular coiling are effective. Cranial nerve signs are more commonly the symptoms of unruptured cerebral aneurysms, but large to giant aneurysms can also be the causes of hemiparesis, hydrocephalus, epilepsy, or even cerebral infarction. This review summarizes the features and surgical outcome of symptomatic unruptured cerebral aneurysms.
Isao Date
Related Documents :
3160833 - Direct evidence of hypertension and the possible role of post-menopause oestrogen defic...
7753353 - Characteristics of pterional routes to basilar bifurcation aneurysm.
23118583 - Hemodynamic change in pulmonary vein stenosis after radiofrequency ablation: assessment...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Neurologia medico-chirurgica     Volume:  50     ISSN:  1349-8029     ISO Abbreviation:  Neurol. Med. Chir. (Tokyo)     Publication Date:  2010  
Date Detail:
Created Date:  2010-10-04     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0400775     Medline TA:  Neurol Med Chir (Tokyo)     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  788-99     Citation Subset:  IM    
Department of Neurological Surgery, Okayama University Graduate School of Medicine, 2-5-1 Shikata-cho, Okayama, Japan.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

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

Previous Document:  Unruptured intracranial aneurysms: current perspectives on the origin and natural course, and quest ...
Next Document:  What is the role of clipping surgery for ruptured cerebral aneurysms in the endovascular era? A revi...