Bilateral middle cerebral artery aneurysms: a comparative study of unilateral and bilateral approaches.

Neurosurgical Review
Servet InciTuncalp Ozgen

Abstract

The best surgical method for the treatment of patients with bilateral middle cerebral artery (bMCA) aneurysms has not been fully determined yet. The main purpose of this study is to compare the surgical results of unilateral and bilateral approaches to bMCA aneurysms including mean operation time, mean hospital stay, and mean cost, in the experience of the same neurosurgical team. Between January 2001 and June 2010, 22 patients with bMCA aneurysms were surgically treated in our institution. In 12 cases (54.5 %), ipsilateral and contralateral MCA aneurysms were successfully clipped via unilateral approach. In the remaining 10 cases, bilateral approach was necessary because of some technical difficulties. Although the surgical results were almost the same, mean operation time and mean hospital stay were, respectively, 46 and 37 % shorter and mean cost per person was 23 % lower for the patients in the unilateral group. In addition, the severity of brain edema, total length of the contralateral (A1+M1) segment, and the configuration of contralateral aneurysm were found to be the determinant parameters affecting the feasibility of the unilateral approach. To our knowledge, this is the first study in the literature that compares the ...Continue Reading

References

Jan 1, 1992·Acta neurochirurgica·J Vajda
Jun 1, 1990·Journal of Neurosurgery·K D EriksenC Kruse-Larsen
Jan 1, 1989·Acta neurochirurgica·K MizoiT Yoshimoto
Dec 1, 1988·Stroke; a Journal of Cerebral Circulation·R Bonita, R Beaglehole
Apr 1, 1988·Neurosurgery·J VajdaI Nyáry
Jun 1, 1988·Neurosurgery·J T PaineD Samson
Jan 1, 1986·Acta neurochirurgica·J VajdaM Horváth
Jan 1, 1986·Zhurnal voprosy neĭrokhirurgii imeni N. N. Burdenko·V V LebedevV V Krylov
Feb 1, 1981·Journal of Neurosurgery·H GiboR J Mitchell
Jan 1, 1995·Surgical and Radiologic Anatomy : SRA·J J FavreJ P Chirossel
Jan 1, 1993·Acta neurochirurgica·L CervoniG Cantore
Feb 1, 1993·Surgical Neurology·J C Lynch, R Andrade
Jan 1, 1996·Acta neurochirurgica·E de OliveiraD A Peace
Jan 1, 1996·Acta neurochirurgica·Y OrzS Kobayashi
Sep 1, 1996·Minimally Invasive Neurosurgery : MIN·I H AydinM Oztürk
Dec 29, 1998·The New England Journal of Medicine·UNKNOWN International Study of Unruptured Intracranial Aneurysms Investigators
Jul 5, 2001·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·J H McMahonM A Dexter
Mar 7, 2002·Parasitology International·Joslyn SciaccaGerhard A Schad
May 4, 2002·Stroke; a Journal of Cerebral Circulation·Jan ClaassenStephan A Mayer
Jul 20, 2002·Surgical Neurology·Sándor CzirjákGyörgy T Szeifert
Oct 17, 2003·Neurologia Medico-chirurgica·Ken KazumataSatoshi Gotoh
Nov 12, 2003·Journal of Neurosurgery·G Michael LemoleRobert F Spetzler
May 13, 2004·Journal of Neurosurgery·Necmettin TanrioverAlexandre Yasuda
Nov 27, 2004·Acta neurochirurgica·B G ShinS C Hong
Jan 5, 2005·Surgical Neurology·Atos Alves de SousaGervásio Teles Cardoso Carvalho
May 26, 2005·Neurologia Medico-chirurgica·Yuji HashimotoJun Niwa
Jun 14, 2005·European Journal of Radiology·Dimitrios SiablisGeorge C Nikiforidis
Feb 3, 2006·Acta Anaesthesiologica Scandinavica·T H DuedahlJ B Dahl

❮ Previous
Next ❯

Citations

Jan 31, 2017·World Neurosurgery·Wen-Xin WangZheng-Hui Sun
Jul 31, 2019·International Journal of Surgery Case Reports·Niranjana RajagopalYoko Kato

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.