Skip to main content
SpringerLink
Log in

Natural History of Intracranial Aneurysms and Vascular Malformations: Indications for Combined Surgical/Endovascular Treatment

  • Chapter
Endovascular Neurosurgery

  • 129 Accesses

Abstract

The natural history of intracranial aneurysms and arteriovenous malformations is difficult to determine accurately, because those presenting with haemorrhage usually require surgical treatment. The majority of those who have not bled are not discovered, although this may change with the wider availability of magnetic resonance imaging and magnetic resonance angiography.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  • Alvord ECJ, Loeser JD, Bailey WL, Copass MK (1972) Subarachnoid haemorrhage due to ruptured aneurysms. Archi Neurol 27: 273–284

    Article  Google Scholar 

  • Ask-Upmark E, Ingvar D (1950) A follow-up examination of 138 cases of subarachnoid haemorrhage. Acta Med Scand 138: 15–31

    Article  PubMed  CAS  Google Scholar 

  • Awad IA (1996) Dural arteriovenous malformations. In: Carter LP, Spetzler RF (eds) Neurovasc Surg. McGraw-Hill, New York, pp 905–932

    Google Scholar 

  • Awad IA, Little JR, Akarawi WP, Ahl J (1990) Intracranial dural arteriovenous malformations: factors predisposing to an aggressive neurological course. Neurosurg 72: 839–850

    Article  CAS  Google Scholar 

  • Bailes JE, Deeb ZL, Wilson JA et al. (1992) Inraoperative angiography and temporary balloon occlusion of the basilar artery as an adjunct to surgical clipping: technical note. Neurosurgery 30: 949–953

    Article  PubMed  CAS  Google Scholar 

  • Borden JA, Wu JK, Shucart WA (1995) A proposed classification for spinal and cranial dural arteriovenous fistulous malformations and implications for treatment [published erratum appears in J Neurosurg 1995 82(4): 705–6]. Neurosurg 82: 166–179

    Article  CAS  Google Scholar 

  • Brown RD Jr, Wiebers DO, Forbes GS et al. (1988) The natural history of unruptured arteriovenous malformations. Neurosurg 68: 352–357

    Article  Google Scholar 

  • Celli P, Ferrante L, Palma L (1984). Cerebral arteriovenous malformations. Clinical features and outcome of treatment in children and in adults. Surgi Neurol 22: 43–49

    Article  CAS  Google Scholar 

  • Crawford PM, West CR, Chadwick DW, Shaw MDM (1986). Arteriovenous malformations of the brain: natural history in unoperated patients. J Neurol, Neurosurg & Psychiatr 49: 1–10

    Article  CAS  Google Scholar 

  • Crowell RM, Moayeri N, Ogilvy CS et al. (1995). Incidental aneurysms. In: Carter LP, Spetzler RF (eds) Neurovascular surgery. McGraw-Hill, New York pp 851–874

    Google Scholar 

  • Davies MA, terBrugge K, Willinsky R, Coyne TJ, Saleh J, Wallace MC (1996). The validity of classification for the clinical presentation of intracranial dural arteriovenous fistulas. J Neurosurg 85: 830–837

    Article  PubMed  CAS  Google Scholar 

  • Davies MA, Saleh J, terBrugge K, Wallace MC (1997a). The natural history and management of intracranial dural arteriovenous fistulae. Part 1: Benign lesions. Intervent Neuroradiol 3: 295–302

    CAS  Google Scholar 

  • Davies MA, terBrugge K, Willinsky RA, Wallace MC (1997b). The natural history and management of intacranial dural arteriovenous fistulae Part 2: Aggressive lesions. Intervent Neuroradiol 3: 303–311

    CAS  Google Scholar 

  • Dell S (1982) Asymptomatic cerebral aneurysm: assessment of its risk of rupture. Neurosurgery 10: 162–166

    Article  PubMed  CAS  Google Scholar 

  • Dott NM (1969) Intracranial aneurysm formations. Clin Neurosurg 16: 1–15

    PubMed  CAS  Google Scholar 

  • Fleischer AS, Paton JM, Tindall GT (1975) Cerebral aneurysms of traumatic origin. Surg Neurol 4: 233–239

    PubMed  CAS  Google Scholar 

  • Forster DM, Steiner L, Hakanson S (1972) Arteriovenous malformations of the brain. J Neurosurg 37: 562–570

    Article  PubMed  CAS  Google Scholar 

  • Fults D, Kelly DJL (1984) Natural history of arteriovenous malformations of the brain: a clinical study. Neurosurgery 15: 658–662

    Article  PubMed  CAS  Google Scholar 

  • Gallagher JP (1964). Pilojection for intracranial aneurysms. Report of progress. J Neurosurg 21: 129–134

    Article  PubMed  CAS  Google Scholar 

  • Garretson HD (1985) Intracranial arteriovenous malformations. In: Wilkins RH, Rengachary SA (eds) Neurosurgery. McGraw-Hill, New York, pp 1448–1458

    Google Scholar 

  • Gerosa MA, Cappelloto P, Licata C (1981) Cerebral arteriovenous malformations in children (56 cases). Childs Brain 8: 356–371

    PubMed  CAS  Google Scholar 

  • Giombini S, Morello G (1978) Cavernous angiomas of the brain: Account of 14 personal cases and review of the literature. Acta Neurochirurgica (Wien) 40: 61–82

    Article  CAS  Google Scholar 

  • Girvin JP, Fox AJ, Vinuela F, Drake CG (1983). Intraoperative embolization of cerebral arteriovenous malformations in the awake patient. Clin Neurosurg 31: 188–247

    PubMed  CAS  Google Scholar 

  • Goldstein SJ, Tibbs PA (1981) Recurrent subarachnoid haemorrhage complicating cerebral arterial ectasia. J Neurosurg 55: 139–142

    Article  PubMed  CAS  Google Scholar 

  • Graf CJ, Perret GE, Torresani T (1983) Bleeding from cerebral arteriovenous malformations as part of their natural history. J Neurosurg 58: 331–337

    Article  PubMed  CAS  Google Scholar 

  • Guglielmi G, Vinuela F, Dion JE, Duckwiler G (1991) Electrothrombosis of saccular aneurysms via endovascular approach. Part 2: Preliminary clinical experience. J Neurosurg 75: 8–14

    Article  PubMed  CAS  Google Scholar 

  • Hacein-Bey L, Cornolly ES, Mayer SA, Young WL, Pile-Spellman J, Solomon RA (1998) Complex intracranial aneurysms: Combined operative and endovascular approaches. Neurosurgery 43(6): 1304–1314

    PubMed  CAS  Google Scholar 

  • Heiskanen O (1970) Risk of rupture of a second aneurysms in a patient with multiple aneurysms. J Neurosurg 32: 295–299

    Article  PubMed  CAS  Google Scholar 

  • Heiskanen O (1981) Risk of bleeding from unruptured aneurysm in cases with multiple intracranial aneurysms. J Neurosurg 55: 524–526

    Article  PubMed  CAS  Google Scholar 

  • Heiskanen O (1986). Risk of surgery for unruptured aneurysms. J Neurosurg 65: 451–453

    Article  PubMed  CAS  Google Scholar 

  • Heros RC, Korosue K, Diebold PM (1990) Surgical excision of cerebral arteriovenous malformations: late results. Neurosurgery 26: 570–577

    Article  PubMed  CAS  Google Scholar 

  • Heros RC, Tu YK (1986). Unruptured arteriovenous malformations: a dilemma in surgical decision making. Clin Neurosurgery 33: 187–236

    CAS  Google Scholar 

  • Higashida RT, Halbach VV, Barnwell SL et al. (1990) Treatment of intracranial aneurysms with preservation of the parent vessel: results of percutaneous balloon embolisation in 84 patients. Am J Neuroradiol 11: 633–640

    PubMed  CAS  Google Scholar 

  • Holtzman RNN, Brust JCM, Hughes JEO et al. (1995) Surgical management of infected intracranial aneurysms. In: Schmide KHN, Sweet WN (eds) Operative neurosurgical techniques. WB Saunders, London pp 1133–1153

    Google Scholar 

  • Horton J, Chambers, W, Lyons S et al. (1990) Pregnancy and the risk of haemorrhage from cerebral arteriovenous malformations. Neurosurgery 27: 867–871

    Article  PubMed  CAS  Google Scholar 

  • Joensen P (1984) Subarachnoid haemorrhage in an isolated population: Incidence on the Faroes during the period 1962–75. Stroke 15: 438–440

    Article  PubMed  CAS  Google Scholar 

  • Kassel N, Torner JC (1983) Aneurysm rebleeding: a preliminary report from the co-operative aneurysm study. Neurosurgery 5: 479–481

    Article  Google Scholar 

  • Kassel N, Torner JC, Clarke Haley J et al. (1990). The international co-operative study on the timing of surgery. Part 1: Overall management results; Part 2: Surgical results. J Neurosurg 73: 18–47

    Article  Google Scholar 

  • Kelly DJL, Alexander E, Davis CJH, Maynard DC (1969) Intracranial arteriovenous malformations: clinical review and evaluation of brain scans. J Neurosurg 31: 422–428

    Article  PubMed  Google Scholar 

  • Khayata MH, Wakhloo AK, Medkhour AM et al. (1995). Intravascular occlusion of cerebral arteriovenous malformations. In: Carter LP, Spetzler RF (eds) Neurovascular surgery. McGraw-Hill, New York, pp 957–978

    Google Scholar 

  • Lasjaunias P, Chiu M, terBrugge K, Tolia A, Hurth M, Bernstein M (1986) Neurological manifestations of intracranial dural arterivenous malformations. J Neurosurg 64: 724–730

    Article  PubMed  CAS  Google Scholar 

  • Luessenhop AJ (1985) Dural arteriovenous malformations. In: Wilkins RH, Rengachary SA (eds) Neurosurgery, McGraw-Hill, New York, pp 1473–1477

    Google Scholar 

  • Malik GM, Pearce JM, Ausman JI, Mehta BA (1984) Dural arteriovenous malformations. Neurosurgery 15: 332–339

    Article  PubMed  CAS  Google Scholar 

  • Manelfe C, Lasjaunias P, Halbach VV et al. (1990) Embolisation in the brain. In: Dandelinger RF, Rossi P, Kurdziel JC, Wallac S (eds) Interventional radiology. Thieme Medical Publishers, New York, pp 396–442

    Google Scholar 

  • Martin, NA, Vinters, HV (1996) Arteriovenous malformations. In: Carter LP, Spetzler RF (eds) Neurovascular surgery. McGraw-Hill, New York, pp 875–903

    Google Scholar 

  • Martin NA, Wilson CB (1984) Preoperative and postoperative care. Wilson CB, Stein BM (eds). Intracranial vascular malformations. Williams & Wilkins, Baltimore, pp 121–129

    Google Scholar 

  • McCormick WF (1984). Pathology of vascular malformations of the brain. In: Wilson CB, Stein BM (eds) Intracranial vascular malformations. Williams & Wilkins, Baltimore, pp 44–63

    Google Scholar 

  • McKissock W, Richardson AE, Walsh L (1965) Anterior commnicating artery aneurysms: a trail of conservative and surgical treatment. Lancet 1: 873–876

    Article  Google Scholar 

  • Menedelow AD, Erfurth A, Grossart K, Macpherson P(1987). Do cerebral arterioveneous malformations increase in size? J Neurol, Neurosurg Psychiatr 50: 980–987

    Article  Google Scholar 

  • Mizoi K, Takahashi A, Yoshimoto T, et al. (1993) Combined endovascular and neurosurgical approach for paraclinoid internal carotid artery aneurysms. Neurosurgery 33: 986–992

    Article  PubMed  CAS  Google Scholar 

  • Mizoi K, Yoshimoto T, Takahashi A, Ogawa A (1994) Direct clipping of basilar trunk aneurysm using temporarily balloon occlusion. Neurosurgery 80: 230–236

    Article  CAS  Google Scholar 

  • Morcos JJ, Heros RC (1995) Supratentorial arterovenous malformations. In: Carter LP, Spetzler RF (eds). Neurovascular surgery. McGraw-Hill, New York, pp 979–1004

    Google Scholar 

  • Mori K, Murata T, Hashimoto N (1980) Clinical analysis of arteriovenous malformations in children. Childs Brain 6: 13–25

    Article  PubMed  CAS  Google Scholar 

  • Moyes PD (1971) Surgical treatment of multiple aneurysms. J Neurosurg 35: 291–295

    Article  PubMed  CAS  Google Scholar 

  • Mullan S, Raimondi AJ, Dobson G et al. (1965) Electrically induced thrombosis in intracranial aneurysms. J Neurosurg 22: 539–547

    Article  PubMed  CAS  Google Scholar 

  • Nishioka H, Torner JC, Graf CJ et al. (1984) Co-operative study of intracranial aneurysms and subarachnoid haemorrhage: a long term prognostic study. II. Ruptured intracranial aneurysms managed conservatively. Archi Neurol 41: 1142–1146

    Article  CAS  Google Scholar 

  • Numaguchi Y, Kitamura K, Fukui M et al. (1982) Intracranial venous angiomas. Surg Neurol 18: 193–202

    Article  PubMed  CAS  Google Scholar 

  • Ohman J, Heiskanen O (1989) Timing of operation for ruptured supratentorial aneurysms: a prospective randomised study. J Neurosurg 70: 55–60

    Article  PubMed  CAS  Google Scholar 

  • Ojemann RG (1985) Infectious intracranial aneurysms. In: Flein JM, Flamm ES (eds) Cerebrovascular disease. Springer-Verlag, New York, pp 1047–1060

    Google Scholar 

  • Ondra SL, Troupp H, George ED, Schwab K (1990) The natural history of symptomatic arteriovenous malformations of the brain. J Neurosurg 73: 387–391

    Article  PubMed  CAS  Google Scholar 

  • Pakarinen S (1967) Incidence, aetiology, and prognosis of primary subarachnoid haemorrhage. A study based on 589 cases diagnosed in a defined urban population during a defined period. Acta Neurol Scand 43: Supp1–28

    PubMed  Google Scholar 

  • Perret G, Nishioka H (1966) Arteriovenous malfornations: an analysis of 545 cases of cranio-cerebral malformations and fistulae reported to the cooperative study. J Neurosurg 25: 467–490

    Article  PubMed  CAS  Google Scholar 

  • Porter PJ, Willinsky RA, Harper W, Wallace MC (1997) Cerebral cavernous malformations: natural history and prognosis after clinical deterioration with or without haemorrhage. J Neurosurg 87: 190–197

    Article  PubMed  CAS  Google Scholar 

  • Redekop G, Ferguson G (1995). Intracranial aneurysms. In: Carter LP, Spetzler R (eds) Neurovascular surgery. McGraw-Hill, New York, pp 625–648

    Google Scholar 

  • Robinson JL, Hall CS, Sedzmir CB (1974) Arteriovenous malformations, aneurysms and pregnancy. J Neurosurg 41: 63–70

    Article  PubMed  CAS  Google Scholar 

  • Rosenorn J, Eskesen V, Schmidt K et al. (1987) Clinical features and outcome in 1076 patients with ruptured intracranial saccular aneurysms: prospective constructive study. Br J Neurosurg 1: 33–46

    Article  PubMed  CAS  Google Scholar 

  • Rothfus WE, Albright AL, Cassey KF et al. (1984) Cerebellar venous angiona: “Benign” entity? Am J Neuroradiol 6: 61–66

    Google Scholar 

  • Sahs AL, Perret GE, Locksley HB et al. (1969) Intracranial aneurysms and subarachnoid haemorrhage: co-operative study. Lippincott, Philadelphia.

    Google Scholar 

  • Samson DS, Batjer HH (1991) Preoperative evaluation of the risk/benefit ratio for arteriovenous malformations of the brain. In: Wilkins RH, Rengachary SS (eds) Neurosurgery update II. Vascular, spinal paediatric and functional neurosurgery. McGraw-Hill, New York, pp 129–133

    Google Scholar 

  • Sarwar M, McCormick WF (1978) Intracerebral venous angioma: Case report and review. Arch Neurol 35: 323–325

    Article  PubMed  CAS  Google Scholar 

  • Saveland H, Hillman J, Brandt L et al. (1992) A prospective study from neurosurgical units in Sweden during a 1-year period. J of Neurosurg 76: 729–734

    Article  CAS  Google Scholar 

  • Scott N, Ballantine HT Jr (1972) Spontaneous thrombosis in a giant middle cerebral aneurysms. J Neurosurg 37: 361–363

    Article  PubMed  CAS  Google Scholar 

  • Sedzmir CB, Robinson J (1973) Intracranial haemorrhage in children and adolescents. J Neurosurg 38: 269–281

    Article  Google Scholar 

  • Senegor M, Dohrmann GJ, Wolmann RL (1983) Venous angiomas of the posterior fossa should be considered as anomalous venous drainage. Surgi Neurol 19: 26–32

    Article  CAS  Google Scholar 

  • Sparrow OC (1998) Cavernous malformations. Br J Neurosurg 12(6): 517–520

    Article  PubMed  CAS  Google Scholar 

  • Sonntag VK, Yuan RH, Stein BM (1977) Giant intracranial aneurysms: a review of 13 cases. Surgi Neurol 8: 81–84

    CAS  Google Scholar 

  • Torner JC (1985) Natural history of intracranial vascular malformations: A review. Neurosurgery 16: 421.

    Article  Google Scholar 

  • Voigt K, Yasargil MG (1976) Cerebral cavernous haemangiomas or cevernomas. Incidence, pathology, localisation, diagnosis, clinical features and treatment. Review of the literature and report of an unusual case. Neurochirurgia 19: 59–68

    PubMed  CAS  Google Scholar 

  • Wascher TM, Spetzler RF (1995) Cavernous malformations of the brainstem. In: Carter LP, Spetzler RF (eds) Neurovascular surgery. McGraw-Hill, New York, pp 541–555

    Google Scholar 

  • Weinand ME (1996) Arteriovenous malformations and epilepsy. Neurovascular surgery. McGraw-Hill, New York, pp 933–956

    Google Scholar 

  • Weir B. Aneurysms affecting the nervous system (1987). Williams & Wilkins, Baltimore.

    Google Scholar 

  • Wiebers DO (1998) Unruptued intracranial aneurysms - risk of rupture and risks of surgical intervention. New Engl J Med 339: 1725–1733

    Article  Google Scholar 

  • Wiebers DO, Whisnant JP, Sundt TM Jr, O’Fallon WM (1987) The significance of unruptured intracranial saccular aneurysms. J Neurosurg 66: 23–29

    Article  PubMed  CAS  Google Scholar 

  • Wilkins RH (1985) Natural history of intracranial vascular malformations: a review. Neurosurgery 16: 421–430

    Article  PubMed  CAS  Google Scholar 

  • Winn HR, Almaani WS, Berga SL, Richardson AE (1983) The long term outcome in patients with multiple aneurysms: incidence of late haemorrhage and implications for treatment of incidental aneurysms. J Neurosurgery 59: 642–651

    Article  CAS  Google Scholar 

  • Wirth FP (1986) Surgical treatment of intracranial aneurysms. Clini Neurosure 33: 125–135

    CAS  Google Scholar 

  • Wirth FP, Laws ER Jr, Piepgras DG, Scott RM (1983) Surgical treatment of intracranial aneurysms. Neurosurgery 12: 507–511

    Article  PubMed  CAS  Google Scholar 

Download references

Authors
  1. John S. Norris
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Peter J. Hamlyn
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. Department of Neuroradiology, The Royal London Hospital, Whitechapel, London, E1 1BB, UK

    Paul Butler MRCP, FRCR (Consultant Neuroradiologist) (Consultant Neuroradiologist)

Rights and permissions

Reprints and permissions

Copyright information

© 2000 Springer-Verlag London

About this chapter

Cite this chapter

Norris, J.S., Hamlyn, P.J. (2000). Natural History of Intracranial Aneurysms and Vascular Malformations: Indications for Combined Surgical/Endovascular Treatment. In: Butler, P. (eds) Endovascular Neurosurgery. Springer, London. https://doi.org/10.1007/978-1-4471-3659-0_1

Download citation

  • DOI: https://doi.org/10.1007/978-1-4471-3659-0_1

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84996-890-4

  • Online ISBN: 978-1-4471-3659-0

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation