Results and current trends of multimodality treatment for infectious intracranial aneurysms

Neurologia Medico-chirurgica
Noriaki MatsubaraToshihiko Wakabayashi

Abstract

The authors retrospectively reviewed their cases of infectious intracranial aneurysms and discuss results and trends of current treatment modalities including medical, neurosurgical, and endovascular. Twenty patients (10 males and 10 females; mean age 46 years) with 23 infectious aneurysms were treated by various treatment modalities during a 15-year period. Fifteen cases (75.0%) were caused by infective endocarditis. Eleven aneurysms (47.8%) were ruptured. Two aneurysms (8.7%) presented a mass effect and 7 (30.4%) were unruptured and asymptomatic. The average aneurysm size was 6.5 ± 4.8 mm (range 1-22 mm). The aneurysms were located in proximal cerebral circulation in 7 (30.4%) and distal in 16 (69.6%). Six (26.1%) aneurysms were treated surgically (5: trapping, 1: neck clipping), 10 (43.5%) endovascularly (7: trapping, 2: proximal occlusion, 1: saccular coiling), and the remaining 7 (30.4%) medically. Endovascular treatment was gradually increased with time. Medical and surgical treatments were continuously performed during the study period. Surgery was preferred for the patient with intraparenchymal hematoma or treated by bypass surgery. Three periprocedural minor complications occurred in endovascular treatment. There was o...Continue Reading

References

Mar 1, 1982·Journal of Neurosurgery·T EguchiA Teraoka
Jan 31, 2002·Radiology·René ChapotJean-Jacques Merland
Jun 14, 2002·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Toshimasa AsaiYuichi Ueda
Oct 18, 2002·Neurosurgery·Loi K PhuongEelco Wijdicks
Oct 4, 2006·Surgical Neurology·Ichiro NakaharaToshihiro Munemitsu
Oct 28, 2006·The Lancet Infectious Diseases·Philip J PetersJeffrey L Lennox
Jan 15, 2008·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Arnaud HotOlivier Lortholary
Jan 29, 2008·British Journal of Neurosurgery·S DhomneU Limaye
Mar 27, 2009·Neurocritical Care·Sudheeran Kannoth, Sanjeev V Thomas
Oct 20, 2009·Neurosurgical Review·Andrew F DucruetE Sander Connolly
Jan 13, 2012·British Journal of Neurosurgery·Takahiro OtaTohru Mizutani
Aug 16, 2012·Neurosurgical Review·Bradley A Gross, Ajit S Puri
May 7, 2013·Journal of Neurointerventional Surgery·Ramesh GrandhiBrian T Jankowitz
Aug 21, 2013·Clinical Neurology and Neurosurgery·Michael George Zaki Ghali, Emil Zaki Ghali
Feb 13, 2014·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Dale DingKenneth C Liu

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Citations

Dec 25, 2015·Neuroradiology·Asim EsenkayaIsmail Oran
May 4, 2016·Journal of Neuroradiology. Journal De Neuroradiologie·Ondra PetrGiuseppe Lanzino
Oct 16, 2016·World Neurosurgery·Wonhyoung ParkDeok Hee Lee
Mar 16, 2017·Neurology India·Xiaoli ZhongXuejun Fan
Feb 22, 2018·Journal of Neurointerventional Surgery·Ali AlawiehAlejandro M Spiotta
Jul 16, 2020·Journal of Cerebrovascular and Endovascular Neurosurgery·Tae Woong BaeJung Ho Ko

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