Surgical Management of Multiple Aneurysms Including Distal Anterior Cerebral Artery Aneurysms.
- Author:
Jong Moo LEE
1
;
Jae Sung AHN
;
Young Il CHUN
;
Yang KWON
;
Byung Duk KWUN
Author Information
1. Department of Neurological Surgery, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, Korea. bdkwun@amc.seoul.kr
- Publication Type:Original Article
- Keywords:
Distal anterior cerebral artery aneurysms;
Multiple aneurysms
- MeSH:
Aneurysm*;
Anterior Cerebral Artery*;
Craniotomy;
Glasgow Outcome Scale;
Humans;
Intracranial Aneurysm*;
Retrospective Studies;
Subarachnoid Hemorrhage
- From:Korean Journal of Cerebrovascular Disease
2001;3(2):191-195
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: The goal of this study is to evaluate the surgical outcome of multiple aneurysms including distal anterior cerebral artery (DACA) aneurysms. MATERIAL AND METHOD: From May 1989 to March 2000, 12 patients with multiple aneurysms including DACA aneurysms, presented with subarachnoid hemorrhage, had been surgically treated. Their medial record and radiological studies were studied retrospectively. Of 12 patients, in 5 patients, all of the aneurysms were clipped through a single craniotomy extended from midline to pterion in one stage, in 5 patients, multiple aneurysms were treated through separate craniotomies in one stage and 2 patients were treated in staged operation. RESULTS: Two patients showed Glasgow Outcome Scale (GOS) 5-4, 2 patients showed GOS 3-2 and 1 patient showed GOS 1 in 5 patients treated through a single craniotomy in one stage, 2 patients showed GOS 5-4 and 3 patients showed GOS 3-2. All patients treated in staged operation showed favorable outcome. CONCLUSION: In surgical management of multiple aneurysms including DACA aneurysms surgery through separate bony windows in two stages seemed to show more favorable outcome.
