Journal ArticleDOI
Risk of rupture of a second aneurysm in patients with multiple aneurysms.
Olli Heiskanen,Irja Marttila +1 more
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Treatment of the symptomatic lesion is commonly considered adequate in patients with multiple aneurysms and in four instances the second hemorrhage was fatal, as shown by autopsy.Abstract:
HERE are different opinions about the mortality associated with multiple aneurysms. MeKissock, et al., 2 state that multiple aneurysms are associated with a higher natural mortality than single aneurysms. In the Cooperative Study of Intracranial Aneurysms and Subarachnoid Hemorrhage, 3 the multiple aneurysm patients had the same prognosis for survival as those with single aneurysms. According to McKissock, recurrent hemorrhage virtually always occurs from the original lesion. Nishioka 3 found little evidence to suggest that more than one aneurysm would rupture within the followup time in the Cooperative Study. Therefore, treatment of the symptomatic lesion is commonly considered adequate. At the Neurosurgical Clinic of the University Central Hospital during the years 1957-1968, we have operated on 84 patients with multiple aneurysms in whom the ruptured aneurysm was identified with certainty at the operation. Ten of these patients had a recurrent hemorrhage during followup periods varying from 4 months to 11 years. In eight of these 10 patients the recurrent hemorrhage was shown to be due to rupture of another previously unruptured aneurysm, in four instances the second hemorrhage was fatal. In one of the remaining patients the second hemorrhage did occur from the original lesion, as shown by autopsy. In the other case, autopsy was not performed, and it is not known which of the aneurysms bled. Case Reportsread more
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Journal ArticleDOI
Double bilateral symmetrical aneurysms--case report.
TL;DR: A 52-year-old female admitted for subarachnoid hemorrhage and preoperative angiography revealed bilateral symmetrical middle cerebral artery aneurysms, which were successfully clipped, which should not be treated by bilateral approaches in a one-stage operation.
Journal ArticleDOI
Hybrid microsurgical and endovascular approach in the treatment of multiple cerebral aneurysms: an illustrative case series in correlation with literature data.
TL;DR: In conclusion, a hybrid approach is advised as a treatment option for multiple cerebral aneurysms when a single modality is insufficient to bring satisfactory results.
Journal ArticleDOI
Recurrent Hemorrhage in Patients with Previous Surgery for Cerebral Aneurysms
TL;DR: It is concluded that the possibility of recurrent hemorrhage after the clipping of a ruptured aneurysm should be considered in allAneurysmal patients, especially in those who are young or have multiple aneurYSms or hypertension.
Book ChapterDOI
Results of Surgical Treatment of Intracranial Aneurysms
TL;DR: The clinical course of the untreated cases and the factors which influence the prognosis in patients with SAH must be clearly defined, so that the risks of mortality and morbidity implied in the treatment can be fully assessed against the risk of subsequent haemorrhage.
Journal ArticleDOI
New category of unruptured cerebral aneurysms
Shoji Asari,Yuji Yamamoto +1 more
TL;DR: Thirty outpatients with unruptured cerebral aneurysms screened by noninvasive cerebral computed angiotomography at Matsuyama Shimin Hospital between 1979 and 1984 show that they should belong to a new category of unrupturing cerebral anuerysms.
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Multiple intracranial aneurysms.
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