Multiple Aneurysm-Which One Ruptured?
Journal of Korean Neurosurgical Society
;
: 1107-1114, 1990.
Article
in Korean
| WPRIM
| ID: wpr-226490
ABSTRACT
Brain Computerized Tomography(CT) and cerebral angiography were reviewed in thirty-six patients with multiple intracranial aneurysms(22.5%) among the 160 consecutive surgical cases of intracranial aneurysms. The prevalent sites of multiple aneurysms were the middle cerebral artery(37.0%), posterior communicating artery(22.2%), and internal carotid artery(14.8%) in sequence. However, the vertebrobasilar system(83.3%), anterior communicating artery(63.6%), and posterior communicating artery(50.0%) had higher probability of rupture than internal carotid artery(8.3%) or middle cerebral artery(33.3%). Based on CT and angiographic information, the site of rupture can be predicted with a high degree of reliability. These factors were the presence of localized hemorrhage on CT, focal vasospasm, size and irregularity of aneurysms, and relative hyperplasia of parent artery.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Parents
/
Arteries
/
Rupture
/
Brain
/
Cerebral Angiography
/
Intracranial Aneurysm
/
Hemorrhage
/
Hyperplasia
/
Aneurysm
Limits:
Humans
Language:
Korean
Journal:
Journal of Korean Neurosurgical Society
Year:
1990
Type:
Article
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