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Surgical experiences with giant intracranial aneurysms
1Gough-Cooper Department of Neurological Surgery, National Hospital for Neurology and Neurosurgery, London, U.K.
Acta Neurochirurgica
|January 1, 1992
Summary
Giant cerebral aneurysms, defined as larger than 2.5 cm, often present with mass effects. This surgeon
Area of Science:
- Neurosurgery
- Vascular Neurology
- Neuroradiology
Background:
- Intracranial aneurysms commonly present as ruptured lesions (subarachnoid hemorrhage) or due to mass effects.
- Giant aneurysms (>2.5 cm) frequently manifest via space-occupying and neighboring structure compression rather than rupture.
- Advances in CT and MR imaging have improved the assessment of aneurysm size and intra-aneurysmal clot extent.
Purpose of the Study:
- To present surgical outcomes for giant cerebral aneurysms.
- To evaluate the efficacy of a specific surgical technique for managing these lesions.
Main Methods:
- Retrospective review of 64 giant cerebral aneurysms operated on over a 10-year period.
- Surgical approach focused on intra-aneurysmal clot removal and clipping of the aneurysm neck.
Main Results:
- The study details the surgeon's experience with 64 giant cerebral aneurysms.
- The described surgical method aims for satisfactory management of these complex lesions.
Conclusions:
- The most effective management strategy identified involves evacuating intra-aneurysmal clot and clipping the aneurysm neck.
- This approach is considered the most satisfactory method for handling giant cerebral aneurysms.