Journal ArticleDOI
Risk of rupture of a second aneurysm in patients with multiple aneurysms.
Olli Heiskanen,Irja Marttila +1 more
Reads0
Chats0
TLDR
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
Citations
More filters
Journal ArticleDOI
Cerebral arterial aneurysm formation and rupture in 20,767 elderly patients: hypertension and other risk factors
TL;DR: In elderly patients hospitalized with an unruptured cerebral aneurysm as their primary diagnosis, hypertension is a risk factor for subsequent SAH, whereas surgical treatment is a protective factor against SAH.
Journal ArticleDOI
Natural history and risk factors of unruptured cerebral aneurysms
Shoji Asari,Takashi Ohmoto +1 more
TL;DR: The data suggest that unruptured cerebral aneurysms arising from the vertebrobasilar and middle cerebral arteries of 10-19 mm size and of multilobes had a statistically high probability of subsequent bleeding.
Journal ArticleDOI
Surgical treatment of unruptured aneurysms of the posterior circulation
TL;DR: This experience suggests that non-giant, intact vertebrobasilar aneurysms can be obliterated surgically at a very low risk, and this treatment should eliminate the greater lifetime risk related to an unsecured aneurYSm.
Journal ArticleDOI
Occult intracranial aneurysms in polycystic kidney disease. When is cerebral arteriography indicated
TL;DR: Routine screening with newer noninvasive tests, such as digital-subtraction angiography, prove to identify reliably patients who are highly likely to have a cerebral aneurysm, and routine screening with these tests will be warranted in patients with polycystic kidney disease.
Journal ArticleDOI
Surgical management of unruptured asymptomatic aneurysms
TL;DR: Forty-nine consecutive patients harboring 52 unruptured asymptomatic aneurysms were treated surgically over a 57-month period, and morbidity was within acceptable limits.
References
More filters
Journal ArticleDOI
Multiple intracranial aneurysms.
Journal ArticleDOI