Abstract
Internal carotid artery (ICA) bifurcation aneurysms are rare and easily bleed in younger patients, but are difficult to treat surgically, due to perforators surrounding and adherent to the aneurysm. A series of 25 patients treated by clipping under the operating microscope are analyzed and compared with previous cases. Twenty-five patients, 11 men and 14 women (mean age 51 years), were treated by the same neurosurgeon. Seventeen patients presented with subarachnoid hemorrhage (Hunt & Kosnik Grade I in three, II in five, III in two, IV in seven), five with unruptured ICA bifurcation aneurysms, and three with unruptured ICA bifurcation aneurysms but another ruptured aneurysm. There were 23 small, one large, and one giant ICA bifurcation aneurysms. The projection was superior in 12, anterior in seven, and posterior in six cases. Pterional approach was employed for all cases. Outcomes were evaluated at discharge with the Glasgow Outcome Scale. Favorable outcomes (good recovery (GR) and moderate disability (MD)) were obtained in ten of 17 patients with ruptured ICA bifurcation aneurysm. Favorable outcomes were significantly greater in Grades I and II (three in I, four in II) than in Grades III and IV (one in III, two in IV; P=0.0498...Continue Reading
References
Mar 1, 1975·Lancet·B Jennett, M Bond
Jul 1, 1979·Journal of Neurosurgery·I Johnston
Jan 1, 1978·Acta neurochirurgica·E Bohm, R Hugosson
Jan 1, 1978·Acta neurochirurgica·M G YaşargilR E Ho
Sep 1, 1975·Journal of Neurosurgery·R P SenguptaN Garvan
Apr 1, 1992·Surgical Neurology·T Hattori, H Kobayashi
Oct 1, 1990·Surgical Neurology·M LaranjeiraJ I Ausman
Jan 1, 1988·Neurosurgery·J L Fox
Feb 1, 1985·Journal of Neurosurgery·F UmanskyS K Berman
Jan 1, 1967·Acta neurochirurgica·J HandaH Handa
Jan 1, 1968·Acta neurochirurgica·L PerriaG Viale
Dec 1, 1965·Journal of Neurosurgery·W J German, S P Black
Aug 1, 1966·Journal of Neurosurgery·H B Locksley
Nov 1, 1966·Journal of Neurosurgery·A L Sahs
May 1, 1967·Neurochirurgia·M David, M Sachs
Jan 1, 1984·Acta neurochirurgica·X KurtiL Leka
Sep 1, 1980·Neurosurgery·W Grand
Oct 1, 1981·Journal of Neurosurgery·H GiboA L Rhoton
Feb 1, 1996·Journal of Neurosurgery·J A AnsonR F Spetzler
Dec 22, 1999·Neurologia Medico-chirurgica·N MiyazawaM Sugita
Jul 1, 1953·Journal of Neurosurgery·G NORLEN, H OLIVECRONA
Mar 1, 1957·Journal of Neurosurgery·P HARRIS, G B UDVARHELYI
Jul 1, 1958·Journal of Neurosurgery·G A F BJORKESTEN
Sep 1, 1962·Journal of Neurosurgery·F P SMITH
Dec 29, 1962·British Medical Journal·J W BULL
Mar 1, 1955·Journal of Neurosurgery·C J GRAF
Sep 1, 1959·Journal of Neurosurgery·J G HAMILTON, M A FALCONER
Jan 1, 1962·Journal of Neurosurgery·W E HUNTJ E BARNES
Jan 1, 1962·Journal of Neurosurgery·G L ODOMJ R JACKSON
Jan 1, 1951·Journal of Neurosurgery·J L POPPEN
Aug 1, 1951·Journal of Neurology, Neurosurgery, and Psychiatry·M A FALCONER
Jul 1, 1996·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·H SanoT Kanno
Jul 8, 1911·British Medical Journal·A Abrams
Citations
Jul 6, 2012·Journal of Neurointerventional Surgery·Hidenori OishiHajime Arai
Apr 26, 2007·Neurologia Medico-chirurgica·Sunil Kumar GuptaSuresh Naraian Mathuriya
May 7, 2008·Neuroradiology·Willem Jan van RooijGuus N Beute
Jun 7, 2014·AJNR. American Journal of Neuroradiology·S F Morales-ValeroG Lanzino
Mar 6, 2013·World Neurosurgery·Venkatesh S MadhugiriAnil Nanda
Oct 13, 2009·Surgical Neurology·Brian L Alexander, Howard A Riina
Mar 24, 2009·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Timothy Ibrahim, Brian P Brophy
Mar 31, 2009·Surgical Neurology·Martin LeheckaJuha Hernesniemi
Apr 12, 2014·Journal of Neurointerventional Surgery·Erez NossekAvi Setton
Mar 15, 2014·Clinical Radiology·W J LeeM H Han
May 7, 2016·World Neurosurgery·Juergen KonczallaVolker Seifert
Jun 18, 2016·Surgical Neurology International·Felix Hendrik PahlJosé Marcus Rotta
Sep 21, 2016·Acta neurochirurgica·Biagia La PiraGiuseppe Lanzino
Feb 6, 2007·Neurosurgery·Justin F FraserPhilip E Stieg
Feb 12, 2017·Chonnam Medical Journal·Sung-Pil Joo, Tae-Sun Kim
Oct 1, 2008·The Neuroradiology Journal·A UemuraA Tournade
Jan 27, 2018·Operative Neurosurgery·Amey R SavardekarAnil Nanda
Dec 3, 2005·Acta neurochirurgica·S SakamotoK Kurisu
Mar 3, 2009·Neurosurgery·James S Waldron, Michael T Lawton
Jan 31, 2015·Neurosurgery·Juergen KonczallaVolker Seifert
May 19, 2020·The Neuroradiology Journal·Mostafa MahmoudFarouk Hassan
Mar 25, 2018·Neuroradiology·Seung Pil BanO-Ki Kwon
Nov 27, 2019·Surgical Neurology International·Seiei TorazawaIsamu Saito
Feb 6, 2021·Neurosurgical Review·Jaafar BasmaAli F Krisht
Mar 20, 2019·World Neurosurgery·Jaewoo ChungJae Sung Ahn