Treatment of Intradural Paraclinoidal Aneurysms

Endovascular treatment of symptomatic intradural vertebral dissecting aneurysms.

BACKGROUND AND PURPOSE The purpose of this study was to report our experience with endovascular treatment of 14 patients with symptomatic intradural vertebral dissecting aneurysms. MATERIALS AND METHODS Between January 2000 and January 2006, 14 patients with symptomatic intradural dissecting vertebral aneurysms were treated. A total of 756 (568 ruptured, 188 unruptured) endovascular treated a...

Endovascular treatment of ruptured intradural vertebral dissecting aneurysms

Cranio-orbital approach for the paraclinoidal and anterior communicating aneurysms.

Aneurysms arising at the proximal intracranial carotid artery (between cavernous sinus and posterior communicating artery) and at the anterior communicating complex may present with technical difficulties regarding appropriate access without excessive brain retraction. In a series of 15 patients the authors show the use of the cranio-orbital approach, formerly designed in the access of skull ba...

Natural history and outcome after treatment of unruptured intradural fusiform aneurysms.

BACKGROUND AND PURPOSE Management of unruptured fusiform intracranial aneurysms is controversial because of the paucity of natural history data. We studied their natural history and outcome after treatment. METHODS We reviewed our neurovascular database from January 2000 to October 2013. Inclusion criteria were unruptured, intradural fusiform aneurysms with a diameter of <2.5 cm. Criteria wer...

treatment of anterior communicating aneurysms

one method of treating ruptured anterior communicating aneurysms is presented. this permits early clipping through a bifrontal flap. key branches of the circle of willis are temporarily occluded by special removable clips before exposing and permanently clipping the aneurysm. this requires the use of hypothermia at 28'0. and other technical aids described. the risk of a fatal recurrent hemorrha...