Risk of Dependency Following Microsurgical Clipping in Good Grade Patients with Ruptured Anterior Circulation Aneurysms

Microsurgical clipping in forty patients with unruptured anterior cerebral circulation aneurysms: an investigation into cognitive outcome.

OBJECTIVE It is a consensus that most unruptured intracranial aneurysms (UIA) can be treated with acceptably low morbidity. However, some studies recently reported postoperative cognitive impairment, suggesting that it could be attributable to surgical damage. Our goal is to evaluate cognitive function before and after microsurgical clipping in patients with UIA. METHOD A consecutive series o...

Microsurgical clipping or endovascular coiling for ruptured cerebral aneurysms.

See related article, pages ●●●–●●● Early aneurysm repair to prevent recurrent bleeding is central to the management of patients with subarachnoid hemorrhage. Over the past 15 years, endovascular occlusion of cerebral aneurysms has emerged as an alternative to microsurgical clipping, and the relative merits and shortcomings of these 2 approaches have been the subject of considerable discussion i...

Keyhole Approach Combined With External Ventricular Drainage for Ruptured, Poor-Grade, Anterior Circulation Cerebral Aneurysms: Erratum

Keyhole Approach Combined With External Ventricular Drainage for Ruptured, Poor-Grade, Anterior Circulation Cerebral Aneurysms

Poor-grade ruptured anterior circulation cerebral aneurysms are frequently associated with severe vasospasm and high morbidity rates despite recent remarkable advances in endovascular coiling.Here, we explored the feasibility of keyhole approach combined with external ventricular drainage for ruptured, poor-grade, anterior circulation cerebral aneurysms. We retrospectively assessed the records ...

Clipping of large and giant aneurysms of anterior circulation.

AIM Surgical outcome for giant intracranial aneurysms (GIA) is suboptimal. Reasons for higher complication rates in large and GIA surgery are the occlusion of perforators or parent arteries during aneurysm clipping, or prolonged temporary occlusion of main arteries. In this article, results of clipping of large and GIAs of anterior circulation are presented. MATERIAL AND METHODS Ten patients ...

Incidence and Risk Factors of Chronic Subdural Hematoma after Surgical Clipping for Unruptured Anterior Circulation Aneurysms

OBJECTIVE Chronic subdural hematoma (CSDH) is a rare complication of unruptured aneurysm clipping surgery. The purpose of this study was to identify the incidence and risk factors of postoperative CSDH after surgical clipping for unruptured anterior circulation aneurysms. METHODS This retrospective study included 518 patients from a single tertiary institute from January 2008 to December 2013...