Clinical Analysis of Multiple Intracranial Aneurysms.
- Author:
Sun Ill LEE
1
;
Byung Ook CHOI
;
Soo Chun KIM
;
Hyung Dong KIM
;
Soo Hyu KIM
;
Jae Hong SIM
Author Information
1. Department of Neurosurgery, Busan Paik Hospital, Inje Medical College, Busan, Korea.
- Publication Type:Original Article
- Keywords:
Multiple intracranial aneurysm;
Incidence;
Location;
Site of the ruptured aneurysm;
One-stage operation;
Two-stage operation
- MeSH:
Aneurysm;
Aneurysm, Ruptured;
Busan;
Female;
Humans;
Incidence;
Intracranial Aneurysm*;
Male;
Mortality;
Rupture;
Spasm
- From:Journal of Korean Neurosurgical Society
1988;17(4):639-646
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Author reviewed the 31 cases of multiple intracranial aneurysms clinically from January 1981 to July 1987, at Inje College Busan Paik Hospital. The results obtained were as follows: 1) The incidence of multiple intracranial aneurysm was 7.8%. In most cases(94%), the number of aneurysm was two. 2) Approximately over 70% of patients were 6th and 7th decades, male to female ratio was 1:3.4. 3) The location of multiple intracranial aneurysms was in order, on the opposite side(39%), on the same side(26%), one in the midline and one on the side(29%). The location of indivisual aneurysms was in order, P-com. A(36%), MCA(25%), A-com. A(17%), ICA(13%). 4) The site of the ruptured aneurysm was determined by CT finding(55%), focal mass effect and spasm in angiography(29%), and others. The accurary was 97%. The possibility of rupture at each location was A-com. A(73%), P-com. A(57%), ICA(38%), MCA(31%). 5) 12 cases among them were treated with one-stage operation and 9 cases with two-stage operation. The post-operative favorable outcome was estimated in 13 cases(54%), the surgical mortality was 13%. There was no statistical difference between two groups.
