scholarly journals Features of the Structure of Cerebral Vessels in Persons who Died from Rupture of Cerebral Artery Aneurysm

2019 ◽  
Vol 7 (4) ◽  
pp. 75-80
Author(s):  
N. A. Trushel' ◽  
N. I. Nechipurenko ◽  
R. R. Sidorovich ◽  
O. L. Zmachinskaya ◽  
I. V. Bokhan
Keyword(s):  
Artery Aneurysm ◽  
Risk Groups ◽  
Structural Features ◽  
Aneurysm Rupture ◽  
Cerebral Vessels ◽  
Arterial Walls ◽  
Clinical Methods ◽  
Vessel Walls ◽  
Cerebral Artery Aneurysm ◽  
Atherosclerotic Changes

The aimof the study is to define of variants of the Willi’s circle and also structural features of the vessel walls at the site of aneurysm location in people who died from aneurysms in the dead from their rupture to identify risk groups for cerebrovascular disease.Material and methods.The structure of cerebral vessels of 8 people at the age from 17 to 69 of both sexes who died from subarachnoid hemorrhage of aneurysmal genesis was examined due to macro-microscopical and clinical methods. Histology slides of cerebral arterial walls of aneurysm area were stained with hematoxylin-eosin and Mallory’s technique and then were examined.Results. Variants of the Willi’s circle and morphological features of vessel walls located in aneurysm formation area in people who died from aneurysm rupture are shown in the articleConclusion. Not classic variants of Willi’s circle, fibromuscular dysplasia of the medial type and atherosclerotic changes of vessel walls contributes to aneurysm occurrence in cerebral vessels.

Intra-Aneurysmal Rupture of an Atheroma during the Clipping of Large Atherosclerotic Aneurysm of the Middle Cerebral Artery: A Case Report with Video Demonstration

2019 ◽  
Vol 80 (05) ◽  
pp. 391-395
Author(s):  
Yeongu Chung ◽  
Wonhyoung Park ◽  
Jung Cheol Park ◽  
Jaewoo Chung ◽  
Jae Sung Ahn
Keyword(s):  
Middle Cerebral Artery ◽  
Cerebral Artery ◽  
Surgical Techniques ◽  
Artery Aneurysm ◽  
Aneurysmal Rupture ◽  
Aneurysm Wall ◽  
Ischemic Complications ◽  
Atherosclerotic Aneurysm ◽  
Cerebral Artery Aneurysm ◽  
Atherosclerotic Changes

AbstractIschemic complications including silent or symptomatic events are known to occur during the clipping of intracranial aneurysms, although at a relatively lower rate than during endovascular treatment. An atherosclerotic or calcified neck is one of the major contributors to postoperative ischemic sequelae from a surgically treated aneurysm. Atherosclerotic changes in intracranial vessels or within an aneurysm wall or neck area are often seen during surgery. However, we were not previously able to detect any showering of atheromatous emboli during temporary or permanent clipping procedures. We describe a case of an intra-aneurysmal rupture of a squeezed atheroma observed after permanent clipping of an atherosclerotic large middle cerebral artery aneurysm. After tentative clipping to treat the severe atherosclerotic aneurysm in this patient, we applied supplementary clipping to the atherosclerotic area of the aneurysmal sac. The resulting squeezing of the intra-aneurysmal atheroma caused a leakage into the subadventitial layer of the aneurysmal sac. We also discuss the potential ischemic complications of aneurysmal clipping surgery. We conclude that the surgical techniques used to treat these specific aneurysms require circumspect planning through a review of preoperative images.

Sleep apnea after posterior cerebral artery aneurysm rupture and elevated intracranial pressure: a Chiari-like syndrome

2016 ◽  
Vol 21 ◽  
pp. 42-44 ◽  
Author(s):  
Elisa Morrone ◽  
Caterina Pistarini ◽  
Benedetta Cazzulani ◽  
Maria Rossi ◽  
Aleksandar Prpa ◽  
...  
Keyword(s):  
Sleep Apnea ◽  
Intracranial Pressure ◽  
Cerebral Artery ◽  
Posterior Cerebral Artery ◽  
Artery Aneurysm ◽  
Aneurysm Rupture ◽  
Elevated Intracranial Pressure ◽  
Cerebral Artery Aneurysm

Hemispheric disconnection syndrome persisting after anterior cerebral artery aneurysm rupture

Neurosurgery ◽  
1987 ◽  
Vol 21 (6) ◽  
pp. 831???8
Author(s):  
H S Levin ◽  
F C Goldstein ◽  
S Y Ghostine ◽  
R L Weiner ◽  
M J Crofford ◽  
...  
Keyword(s):  
Cerebral Artery ◽  
Anterior Cerebral Artery ◽  
Artery Aneurysm ◽  
Aneurysm Rupture ◽  
Disconnection Syndrome ◽  
Anterior Cerebral Artery Aneurysm ◽  
Cerebral Artery Aneurysm

scholarly journals A novel treatment of a patient with a giant ruptured middle cerebral artery aneurysm by acute coiling followed by scheduled Pipeline flex placement

2020 ◽  
Vol 33 (6) ◽  
pp. 517-519
Author(s):  
Shikai Liang ◽  
Ren Yuan ◽  
Xianli Lv
Keyword(s):  
Middle Cerebral Artery ◽  
Acute Phase ◽  
Cerebral Artery ◽  
Artery Aneurysm ◽  
Aneurysm Rupture ◽  
Flow Diversion ◽  
Neurological Deficits ◽  
Middle Cerebral Artery Aneurysm ◽  
Cerebral Artery Aneurysm

Objective Flow diversion in the acute phase of aneurysm rupture or giant aneurysm is limited by the need for dual antiplatelet therapy and the risk of delayed aneurysm rupture. Here, the authors report a scheduled flow-diversion concept for the endovascular treatment of a giant intra-dural aneurysm. Methods A 54-year-old female patient with a ruptured giant middle cerebral artery aneurysm underwent coiling in the acute phase following 1-month scheduled Pipeline flex placement. Results The acutely ruptured giant middle cerebral artery aneurysm was treated by flow diversion scheduled at 1 month after conventional coiling. The patient tolerated this treatment strategy well without any neurological deficits after the procedure and during the 3-month follow-up. The aneurysm showed nearly complete obliteration on 3-month follow-up angiogram, and a 6- to 12-month follow-up was scheduled. Conclusions This strategy may be considered as an option in patients presenting with ruptured or unruptured giant intra-dural aneurysms.

Acute subdural hematoma secondary to distal middle cerebral artery aneurysm rupture in a newborn infant

2009 ◽  
Vol 3 (5) ◽  
pp. 435-438 ◽  
Author(s):  
Begoña Iza-Vallejo ◽  
Olga Mateo-Sierra ◽  
Fernando Fortea-Gil ◽  
Fernando Ruiz-Juretschke ◽  
Yolanda Ruiz Martín
Keyword(s):  
Artery Aneurysm ◽  
Artery Occlusion ◽  
Aneurysm Rupture ◽  
Acute Subdural Hematoma ◽  
Parent Artery ◽  
Early Management ◽  
Parent Artery Occlusion ◽  
History Of ◽  
Cerebral Artery Aneurysm ◽  
Distal Middle Cerebral Artery

The authors present the case of a peripheral aneurysmal lesion that developed in a newborn baby and was successfully treated by endovascular parent artery occlusion. Given the natural history of aneurysms, which are prone to rupture and to cause deleterious intracerebral hemorrhage, with high mortality rates, aggressive and early management (endovascular or surgical) is recommended.

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