Surgical Experiences of the Ruptured Giant Middle Cerebral Artery Aneurysm(2 Cases).
- Author:
Kil Soo JEONG
1
;
Jung Chung LEE
Author Information
1. Department of Neurosurgery, Chonbuk National University Medical School, Chonju, Korea.
- Publication Type:Original Article
- Keywords:
Ruptured giant aneurysm;
Direct intracranial operation;
Subarachnoid hemorrhage;
Intracerebral hematoma;
Multiple tactics
- MeSH:
Aneurysm;
Cerebral Angiography;
Cerebral Arteries;
Hematoma;
Hypotension;
Intracranial Aneurysm;
Middle Cerebral Artery*;
Punctures;
Seizures;
Subarachnoid Hemorrhage;
Temporal Lobe
- From:Journal of Korean Neurosurgical Society
1987;16(1):265-270
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The authors report their experiences of direct intracranial operation on 2 cases of ruptured giant middle cerebral artery aneurysm which have similar diameter size (over 2.5cm) and location (middle cerebral artery bifurcation area). On had showed subarachnoid hemorrhage at the right sylvian fissure and another had showed was operated 25 days after ictus because of generalized seizure attack and vasospasm on cerebral angiography, the latter was operated within 18 hours after ictus due to semicomatose mental state and intracerebral hematoma on the right temporal lobe. We have utilized on giant aneurysmal surgery with multiple tactics such as transient hypotension, temporary clipping, multiple clipping, puncture or incision of the aneurysmal body and removing of hematoma.
