Clinical Analysis of Giant Intracranial Aneurysm.
- Author:
Yun Hee KIM
1
;
Byung Ook CHOI
;
Soo Chun KIM
;
Jae Hong SIM
Author Information
1. Department of Neurosurgery, InJe University, Paik Hospital, Busan, Korea.
- Publication Type:Original Article
- Keywords:
Giant aneurysm;
Direct operation;
Internal carotid artery ligation;
Bypass surgery;
Wrapping;
Conservative therapy
- MeSH:
Aneurysm;
Arteries;
Carotid Artery, Internal;
Humans;
Incidence;
Intracranial Aneurysm*;
Ligation;
Middle Cerebral Artery;
Mortality
- From:Journal of Korean Neurosurgical Society
1989;18(6):871-876
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The authors reported the cases of 23 patients with aneurysms measuring 2.5 cm or greater in diameter found during 7 years period in which we performed 596 operations for aneurysm of the 23 patients, 14 were treated by direct operation, 3 by internal carotid ligation with or without bypass surgery, 2 by trapping, 1 by wrapping and the other 3 by conservative therapy. The overall incidence of giant aneurysms was 3.9% but varied according to location; 9 cases were located on the internal carotid artery; 8 were on the anterior communicating artery; 5 were on the middle cerebral artery. 14 patients had hemorrhagic attacks, 7 had mass effects from the aneurysm, and 2 had ischemic events. Overall favorable outcome was 65% and the mortality was 13%. Based on the review of the literature, the appropriateness of surgery and surgical methods are discussed.
