MICROSURGICAL TREATMENT OF A SERIES OF A SERIES OF ARTERIAL INTRACRANIAL SUPRATENTORIAL ANEURYSMS

  • 1 January 1976
    • journal article
    • research article
    • Vol. 22  (3) , 227-238
Abstract
A series of 60 arterial aneurysms is reported with patients pre-operatively graded from grade I to grade IV of the Botterell''s classification. Most patients with anterior communicating artery aneurysm are operated on from the right side, except for patients with only 1 left anterior cerebral artery. Middle cerebral artery aneurysms are approached by the proximal way, along the internal carotid artery and then following the main trunk of middle cerebral artery. In cases of internal carotid artery aneurysms, the carotid bifurcation aneurysms and the true posterior communicating artery aneurysms, dissection is generally performed without particular difficulty, except for the low internal carotid artery aneurysms (carotido-ophthalmic aneurysms); in these latter, the anterior clinoid process and the internal part of sphenoidal ridge must be removed. An angiographic control was performed 2 wk after surgery in 48 patients. Clinical results were as follows: 8 patients died (13.3%); 3 patients had a poor result; 9 had a fair result, and 41 patients (68.3%) had a good result without any neurologic deficit and are leading normal lives.

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