Surgery of intact intracranial aneurysms

1974 ◽  
Vol 40 (4) ◽  
pp. 495-498 ◽  
Author(s):  
Kewal K. Jain
Keyword(s):  
Carotid Artery ◽  
Cranial Nerve ◽  
Intracranial Aneurysms ◽  
Operative Mortality ◽  
Common Symptom ◽  
Cranial Nerve Involvement ◽  
Content Type ◽  
Nerve Involvement ◽  
Fine Print

✓ The author reports his experience with 15 cases involving intact intracranial aneurysms. The most common symptom was headache; less common symptoms were seizures and cranial nerve involvement. Twelve patients were treated surgically without any operative mortality or morbidity. Relief of headaches occurred in the eight patients in whom the aneurysm was clipped or the carotid artery was ligated in the neck. It is recommended that most intact intracranial aneurysms be treated surgically. Certain contraindications are discussed.

“Fibrous dysplasia” of the skull with complete unilateral cranial nerve involvement

1980 ◽  
Vol 52 (3) ◽  
pp. 404-406 ◽  
Author(s):  
Eduardo Fernandez ◽  
Nicola Colavita ◽  
Massimo Moschini ◽  
Adriano Fileni
Keyword(s):  
Fibrous Dysplasia ◽  
Cranial Nerve ◽  
Cranial Nerves ◽  
Cranial Nerve Involvement ◽  
Content Type ◽  
Nerve Involvement ◽  
The Right ◽  
Base Of The Skull ◽  
Pathological Confirmation ◽  
Fine Print

✓ A 40-year-old man with a slowly progressive unilateral sclerotic process of the base of the skull developed complete involvement of all cranial nerves on the right. Roentgenograms of the skull are interpreted as fibrous dysplasia, but pathological confirmation is lacking.

Ruptured intracranial aneurysms in the first two decades of life

1971 ◽  
Vol 35 (5) ◽  
pp. 571-576 ◽  
Author(s):  
Aneel N. Patel ◽  
Alan E. Richardson
Keyword(s):  
Carotid Artery ◽  
Intracranial Aneurysms ◽  
Postmortem Examination ◽  
Surgical Mortality ◽  
Terminal Portion ◽  
Good Tolerance ◽  
Content Type ◽  
Intracranial Operation ◽  
Ruptured Intracranial Aneurysms ◽  
Fine Print

✓ An analysis of 3000 ruptured intracranial aneurysms revealed 58 cases in patients under the age of 19 years. There was a striking incidence of aneurysms of the carotid termination and anterior cerebral complex, accounting for 43 of 58 cases, and of these 20 involved the terminal portion of the carotid artery. Vasospasm occurred slightly less often than in adults and infarction was only seen in one postmortem examination. The surgical mortality in alert patients was 7% whereas in a comparable bedrest group it was 38%. This good tolerance to surgery was evident whether intracranial operation or carotid ligation was used, but the surgical method was not randomly allocated.

scholarly journals Relation of Cranial Nerve Involvement to the Location of Intracranial Aneurysms

1982 ◽  
Vol 22 (11) ◽  
pp. 910-916 ◽  
Author(s):  
Akira WATANABE ◽  
Ryoji ISHII ◽  
Ryuichi TANAKA ◽  
Susumu TOKIGUCHI ◽  
Jusuke ITO
Keyword(s):  
Cranial Nerve ◽  
Intracranial Aneurysms ◽  
Cranial Nerve Involvement ◽  
Nerve Involvement

Carotid control for intracranial aneurysms

1988 ◽  
Vol 69 (1) ◽  
pp. 142 ◽  
Author(s):  
Milton D. Heifetz
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Intracranial Aneurysms ◽  
Internal Carotid ◽  
Control Mechanism ◽  
Content Type ◽  
Flexible Cable ◽  
Cervical Internal Carotid Artery ◽  
Fine Print

✓ A new clamp with a flexible cable control mechanism for temporary intraoperative occlusion of the cervical internal carotid artery is described.

Abnormal origin of bilateral ophthalmic arteries

1991 ◽  
Vol 74 (2) ◽  
pp. 287-289 ◽  
Author(s):  
Jun-ichiro Hamada ◽  
Isao Kitamura ◽  
Masahito Kurino ◽  
Nobuyuki Sueyoshi ◽  
Shozaburo Uemura ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Intracranial Aneurysms ◽  
Ophthalmic Artery ◽  
Internal Carotid ◽  
Content Type ◽  
Multiple Intracranial Aneurysms ◽  
Operative Findings ◽  
Ophthalmic Arteries ◽  
Fine Print

✓ The case of a 64-year-old woman with multiple intracranial aneurysms and abnormal ophthalmic arteries arising from the bifurcation of the internal carotid artery is described. It is believed that this type of anomaly of the ophthalmic artery has not previously been reported. The neuroradiological and operative findings of this case are presented.

The effect of cervical carotid ligation on giant intracranial aneurysms

1970 ◽  
Vol 33 (2) ◽  
pp. 184-190 ◽  
Author(s):  
John S. Tytus ◽  
Arthur A. Ward
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Carotid Artery ◽  
Intracranial Aneurysms ◽  
Internal Carotid ◽  
Endocrine Dysfunction ◽  
Content Type ◽  
Carotid Ligation ◽  
Visual Field Deficits ◽  
The Common ◽  
Fine Print

✓ Two patients with giant aneurysms of the internal carotid artery showed progressive visual field deficits, and one, endocrine dysfunction. Neither patient had ever had symptoms suggesting subarachnoid hemorrhage. Both patients benefitted from common carotid ligation. Comparable reports are reviewed, and the application of a previously reported technique for monitoring gradual occlusion of the common carotid artery is emphasized.

Cerebellopontine angle meningiomas

1984 ◽  
Vol 60 (3) ◽  
pp. 500-505 ◽  
Author(s):  
Laligam N. Sekhar ◽  
Peter J. Jannetta
Keyword(s):  
Computerized Tomography ◽  
Cranial Nerve ◽  
Cerebellopontine Angle ◽  
Operative Mortality ◽  
Preoperative Evaluation ◽  
Content Type ◽  
Surgical Microscope ◽  
Fine Print

✓ During the years 1974 through 1981, 22 patients with cerebellopontine angle meningiomas underwent surgery: 14 tumors were excised completely, and eight subtotally. A retromastoid approach was used in 19 cases and a subtemporal approach in three cases. There was no operative mortality and the quality of survival was good. Five patients suffered new cranial nerve deficits as a result of the operation. The average follow-up period was 5 years. One tumor thought to be completely removed has recurred, but has not required another operation so far. One subtotally excised tumor required reoperation. Computerized tomography and arteriography were important in preoperative evaluation. Good neuroanesthesia, the use of the surgical microscope and microtechnique, and an understanding of the pathological relationships were factors contributing to good results.

Multiple fusiform intracranial aneurysms following curative radiation therapy for suprasellar germinoma

1984 ◽  
Vol 61 (6) ◽  
pp. 1141-1145 ◽  
Author(s):  
Biagio Azzarelli ◽  
Joseph Moore ◽  
Richard Gilmor ◽  
Jans Muller ◽  
Mary Edwards ◽  
...  
Keyword(s):  
Radiation Therapy ◽  
Carotid Artery ◽  
Intracranial Aneurysms ◽  
Internal Carotid ◽  
Cerebral Arteries ◽  
Fusiform Aneurysm ◽  
Vascular Tree ◽  
Content Type ◽  
Suprasellar Germinoma ◽  
Fine Print

✓ A 17-year-old girl died from the rupture of a large fusiform aneurysm of the terminal internal carotid artery. Autopsy revealed three other fusiform aneurysms originating from major cerebral arteries clearly within the ports of previously administered telecobalt radiation therapy. Five years prior to her death, a suprasellar germinoma was partially removed and the area was treated by radiation therapy via three ports. The original arteriograms showed a normal vascular tree. Repeat arteriograms, 3 years and 8 months before her death, demonstrated the aneurysms. The development of aneurysms following radiation damage of the arteries has been reported previously, but not in intracranial vessels.

Traumatic intracranial aneurysms

1980 ◽  
Vol 52 (1) ◽  
pp. 11-20 ◽  
Author(s):  
Dwight Parkinson ◽  
Michael West
Keyword(s):  
Mortality Rate ◽  
Conservative Management ◽  
Intracranial Aneurysms ◽  
Operative Mortality ◽  
Early Recognition ◽  
Head Injuries ◽  
Intracranial Hematoma ◽  
Content Type ◽  
Surgical Extirpation ◽  
Fine Print

✓ Eleven cases of traumatic intracranial aneurysms, six saccular and five arteriovenous, are presented with an operative mortality of 22.2%, which compares favorably with the few reports in the literature. These lesions are usually associated with serious head injuries. The diagnosis is often delayed or overlooked as the surgeon's attention is distracted by the presence of an accompanying intracranial hematoma. With increasing replacement of angiography by computerized tomography in aneurysm diagnosis, these aneurysms are even more likely to escape detection. They should be suspected in any patient who deteriorates within 2 weeks of the trauma. Conservative management carries a mortality rate of about 50%. Because of their superficial location, they are amenable to successful surgical extirpation. Improved mortality depends on early recognition and surgical obliteration.

Superior hypophyseal artery aneurysm

1991 ◽  
Vol 74 (3) ◽  
pp. 501-503 ◽  
Author(s):  
Wesley Y. Yapor ◽  
Robert M. Crowell
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Intracranial Aneurysms ◽  
Internal Carotid ◽  
Artery Aneurysm ◽  
Operative Approach ◽  
Content Type ◽  
Technical Details ◽  
Angiographic Findings ◽  
Fine Print

✓ Two cases of saccular intracranial aneurysms arising from the superior hypophyseal artery take-off from the internal carotid artery are presented. The angiographic findings and technical details of the operative approach are discussed. Particular attention is focused on the use of fenestrated angled clips.

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