title: [Analysis of the effects of various methods of classical exclusion of anterior cerebral artery aneurysms on late structural and functional changes in relation to the various approaches].
abstract: The effects were analysed of various techniques of classical exclusion of aneurysms in the anterior cerebral artery system on the late therapeutic result and on the development of ischaemic lesions in the area of approach to the aneurysm. The approaches used were: interhemispheric, fronto-temporal and fronto-temporo-sphenoidal, and the aneurysms were excluded with a ligature or metal clip. The best method of approach was chosen after analysis of late results of neurological, psychological and CT studies. It was demonstrated that pressure of a spatula during the operation may produce permanent ischaemic changes at the site of the pressure which may lead to persistence of psychic disturbances late after the operation. It was shown also that the most favourable classic technique of operation in cases of aneurysms in this portion is the fronto-temporo-sphenoidal approach with use of a metal clip.
authors.affiliation: Kliniki Neurochirurgii PAM w Szczecinie.
authors.forename: J
authors.initials: J
authors.lastname: Slósarek
authors.forename: T
authors.initials: T
authors.lastname: Słowik
authors.forename: I
authors.initials: I
authors.lastname: Kojder
authors.forename: W
authors.initials: W
authors.lastname: Kopacka
mesh_terms: D000328:Adult; D002545:Brain Ischemia / Q000000981:diagnostic imaging* / Q000209:etiology; D002536:Cerebral Arteries / Q000601:surgery*; D005260:Female; D005625:Frontal Lobe / Q000601:surgery; D006801:Humans; D002532:Intracranial Aneurysm / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000000981:diagnostic imaging* / Q000209:etiology; D011597:Psychomotor Performance / Q000502:physiology*; D013101:Sphenoid Sinus / Q000601:surgery; D013702:Temporal Lobe / Q000601:surgery; D014057:Tomography, X-Ray Computed
vernacular_title: Analiza wpływu róznych metod klasycznego wyłaczania tetniaka układu tetnic przednich mózgu na późne, strukturalne I czynnościowe zmiany z róznymi sposobami dojścia.