title: [Results of surgical treatment of aneurysms of the middle cerebral artery].
abstract: The authors present a group of 38 patients with middle cerebral artery aneurysms in whom 48 aneurysms were excluded from the cerebral circulation by microsurgical techniques. In 11 cases multiple aneurysms were found. In 2 cases the wall of the aneurysm was strengthened. In the light of this material and a survey of the pertinent literature the authors analyse the relationship between the results of surgical treatment and various factors. A significant increase in postoperative mortality was found with more severe condition of the patients by the Botterell scale. The factors worsening the prognosis were also: presence of intracerebral haematoma and aneurysm location in the bifurcation of an artery. Arteriospasm increased the incidence of neurological deficits.
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002539:Cerebral Arterial Diseases / Q000601:surgery*; D002648:Child; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D002532:Intracranial Aneurysm / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology / Q000401:mortality
vernacular_title: Wyniki leczenia operacyjnego tetniaków tetnicy środkowej mózgu.