J Korean Neurosurg Soc.  1987 Mar;16(1):265-270.

Surgical Experiences of the Ruptured Giant Middle Cerebral Artery Aneurysm(2 Cases)

• Jeong KS
• Lee JC

Abstract

The authors report their experiences of direct intracranial operation on 2 cases of ruptured giant middle cerebral artery aneurysm which have similar diameter size (over 2.5cm) and location (middle cerebral artery bifurcation area). On had showed subarachnoid hemorrhage at the right sylvian fissure and another had showed was operated 25 days after ictus because of generalized seizure attack and vasospasm on cerebral angiography, the latter was operated within 18 hours after ictus due to semicomatose mental state and intracerebral hematoma on the right temporal lobe. We have utilized on giant aneurysmal surgery with multiple tactics such as transient hypotension, temporary clipping, multiple clipping, puncture or incision of the aneurysmal body and removing of hematoma.

Keyword

Ruptured giant aneurysm; Direct intracranial operation; Subarachnoid hemorrhage; Intracerebral hematoma; Multiple tactics

MeSH Terms

Aneurysm
Cerebral Angiography
Cerebral Arteries
Hematoma
Hypotension
Intracranial Aneurysm
Middle Cerebral Artery*
Punctures
Seizures
Subarachnoid Hemorrhage
Temporal Lobe