Treatment of Giant Intracranial Aneurysms: a Review Based on Experience from 286 Cases Tratamento dos aneurismas gigantes intracranianos: uma revisão baseada na experiência de 286 casos
نویسندگان
چکیده
Morley and Barr classify cerebral aneurysms as giant when their largest diameter is equal to or greater than 25 mm. The arbitrary limit of 2.5 cm distinguishes an aneurysm group with clinical and pathological characteristics, natural history, and treatment, which differ from those of small and medium aneurysms.1–4 The most common location is in the internal carotid artery (ICA), followed by the vertebrobasilar system (VBS), middle cerebral artery (MCA), and most recently, the anterior cerebral-anterior communicating artery (ACAACoA) complex.1,2,4,5 Manifestations include subarachnoid hemorrhage (SAH) and/or intracerebral hemorrhage (ICH) and, particularly, signs and symptoms related to mass effect on the adjacent
منابع مشابه
Cavernous sinus thrombosis
A trombose do seio cavernoso (TSC) é uma situação clínica rara, resultando normalmente da complicação de um processo infeccioso dos seios paranasais. Outras causas incluem alterações pró-trombóticas, anemia e trauma. Os sinais e sintomas são extremamente variados e inespecíficos, sendo o seu diagnóstico efetuado através de ressonância magnética nuclear (RMN). Os autores apresentam um caso clíni...
متن کاملTuberculosis recurrence in a priority city in the state of São Paulo, Brazil
Objective: To describe cases of tuberculosis recurrence (TBR), stratified by temporal classification (early or late TBR), and to identify possible predictors of such recurrence. Methods: This was an analytical retrospective observational epidemiological study involving a cohort of 963 new cases of pulmonary tuberculosis, reported and treated via the Tuberculosis Control Program in the city of...
متن کاملCerebral retrograde perfusion alternating with carotid artery anterograde perfusion in the surgical treatment of acute dissection of ascending aorta dissection
The authors report an original case using cerebral retrograde perfusion alternating with carotid artery anterograde perfusion, during the surgical treatment of acute ascending aorta dissection. The patient was discharged on the 32nd post-operative day in a clinically controlled condition. The Mini Mental State Examination was applied after 30 days and showed normal cerebral cognitive activity. ...
متن کاملAcute Pancreatitis Due to Simvastatin
A pancreatite causada por fármacos ocorre numa incidência de 1,4-2% dos casos de pancreatite aguda, e deve ser equacionada sempre que as causas habituais de pancreatite aguda forem excluídas. Na maioria dos casos a gravidade da pancreatite por fármacos é pequena. A pancreatite aguda induzida por estatinas tem sido reportada pouco frequentemente mas, face à existência de referências de casos de ...
متن کاملRetrospective analysis of a case series of patients with traumatic injuries to the craniocervical junction
Objective To evaluate the correlation between the treatment, the characteristics of the lesions and the clinical outcome of patients with traumatic injuries to the craniocervical junction. Methods This was a retrospective study of patients treated conservatively or surgically between 2010 and 2013 with complete data sets. Results We analyzed 37 patients, 73% were men with mean age of 41.7 y...
متن کامل