Related Experiment Videos
[Multiple cerebral aneurysms]
Zoran Roganović1, Goran Pavlićević
1Vojnomedicinska akademija, Klinika za neurohirurgiju, Beograd.
Vojnosanitetski Pregled
|July 23, 2002
Summary
This study compared single aneurysms (SA) and multiple aneurysms (MA), finding MA are smaller and have different locations. Treatment outcomes were similar, but complete surgery was more common for SA.
Area of Science:
- Neurosurgery
- Vascular Neurology
- Radiology
Context:
- Cerebral aneurysms present a significant health risk, with variations in presentation and treatment challenges between single (SA) and multiple (MA) occurrences.
- Understanding the distinct characteristics of SA and MA is crucial for optimizing patient management and surgical strategies.
Purpose:
- To delineate the risk factors associated with the multiplicity of cerebral aneurysms.
- To compare the clinical and therapeutic profiles of patients diagnosed with single aneurysms versus multiple aneurysms.
Summary:
- A retrospective analysis of 95 SA patients and 22 MA patients revealed significant differences: MA were smaller (9.8 mm vs. 15.4 mm) and exhibited a different anatomical distribution compared to SA.
- While surgical intervention rates were similar (approx. 78%), complete surgical clipping was more frequent in SA (89.3%) than MA (47.1%). Intraoperative rupture was higher in MA (36%) than SA (17.6%).
- Despite these differences, treatment outcomes were comparable, with good outcomes reported in approximately 70-77% of patients across both groups.
Impact:
- This research highlights that multiple cerebral aneurysms are smaller and anatomically distinct, influencing surgical approaches.
- The findings suggest that while complete operative treatment is more challenging for multiple aneurysms, the overall treatment success rates remain similar to single aneurysms.