Related Experiment Videos
[Surgical treatment of multiple arterial aneurysms of the brain]
Insights
Multiple brain aneurysms are found in 10.3% of cases, often requiring complete angiographic examination. Surgical exclusion of all aneurysms, prioritizing the bleeding source, improves outcomes with low mortality.
Area of Science:
- Neurology
- Neurosurgery
- Vascular Medicine
Background:
- Multiple arterial aneurysms of the brain present diagnostic and therapeutic challenges.
- Accurate identification of the bleeding source is crucial for effective surgical planning.
Observation:
- The study analyzed 83 cases of multiple brain aneurysms.
- Hemorrhage recurrence predominantly originates from the same aneurysm (85.3%).
- Diagnostic complex including cerebral angiography, EEG, CT, and clinical evaluation identifies the bleeding aneurysm in 93% of cases.
Findings:
- The frequency of recognizing multiple brain aneurysms is 10.3%, dependent on thorough angiographic examination.
- Recurrent hemorrhages typically arise from a single aneurysm.
- Surgical management prioritizes the exclusion of all aneurysms, especially the one causing bleeding.
Implications:
- Comprehensive diagnostic workup is essential for managing multiple brain aneurysms.
- Microsurgical techniques and advanced surgical approaches have improved outcomes.
- Successful surgical intervention leads to good functional recovery in most patients (84.7%), with a low postoperative mortality rate (2.7%).
Abstract:
On the basis of analysis of 83 cases with multiple arterial aneurysms of the brain, the authors arrived at the following conclusions. The frequency of their recognition is 10.3% and is directly dependent on the completeness and thoroughness of the angiographic examination. Recurrent hemorrhages in multiple aneurysms occur mostly from one and the same aneurysm (85.3%) and in rare cases form different aneurysms (14.7%). With the use of a diagnostic complex (cerebral angiography, EEG, CT, careful study of the medical history and the clinical picture of the disease) the aneurysm which is the source of the intracranial bleeding can be identified in most cases (93%), which is important in planning the tactics of surgical treatment. Exclusion of all aneurysms, in one stage if possible, is the main principle of surgical management of multiple aneurysms. The aneurysm which caused the intracranial bleeding should be excluded first. The development of surgical approaches to the aneurysms and the use of microsurgery made it possible to achieve definite successes in surgery of multiple aneurysms. Postoperative lethality was 2.7%. Most of the patients (84.7%) are capable of working or are adapted to every-day life.