[Surgical treatment of multiple arterial aneurysms of the brain].
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.
Filatov
Iu M
IuM
Mendibaev
K T
KT
Miakota
A E
AE
Tissen
T P
TP
D000328:Adult; D001921:Brain / Q000000981:diagnostic imaging / Q000601:surgery; D002533:Cerebral Angiography; D004569:Electroencephalography; D005500:Follow-Up Studies; D006801:Humans; D002532:Intracranial Aneurysm / Q000145:classification / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D008722:Methods; D014057:Tomography, X-Ray Computed
Khirurgicheskoe lechenie mnozhestvennykh arterial'nykh anevrizm golovnogo mozga.