Clinical Material

  • Charles G. Drake
  • Sydney J. Peerless
  • Juha A. Hernesniemi


The clinical material to be discussed is derived from a series of 1767 patients with vertebral-basilar aneurysms operated upon at the teaching hospitals of the University of Western Ontario in London, Canada; at Victoria Hospital 1959–1972 (140 patients), at University Hospital 1973–1992 (1540 patients) and at the University of Miami in Miami, Florida at Jackson Memorial Hospital 1991–1992 (31 patients). Fifty-six (56) other patients were operated upon at other university clinics as a visiting surgeon. Ninety-five (95) percent of the patients were operated on by the two senior authors.


Unruptured Aneurysm Giant Aneurysm Superior Cerebellar Artery Anterior Inferior Cerebellar Artery Copper Beryllium 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Botterell EH, Lougheed WM, Scott JW, Vandewater SL: Hypothermia, and interruption of carotid, or carotid and vertebral circulation, in the surgical management of intracranial aneurysms. J Neurosurg 13: 142, 1956Google Scholar
  2. 2.
    Drake CG: Report of World Federation of Neurological Surgeons Committee on a universal subarachnoid haemorrhage grading scale. J Neurosurg 68: 985–986, 1988Google Scholar
  3. 3.
    Drake CG: On the surgical treatment of ruptured intracranial aneurysms. Clin Neurosurg 13: 122–155, 1966Google Scholar
  4. 4.
    Gallagher JP: Pilojection for intracranial aneurysms. Report of progress. J Neurosurg 21: 129–134, 1964PubMedCrossRefGoogle Scholar
  5. 5.
    Kassell NF, Torner JC, Jane JA, Haley EC Jr, Adams HP: The International Cooperative Study on the Timing of Aneurysm Surgery. Part II: surgical results. J Neurosurg 73: 37–47, 1990PubMedCrossRefGoogle Scholar
  6. 6.
    Minielli R, Yuzbe A, Drake CG: Subarachnoid hemorrhage secondary to ruptured cerebral aneurysm in pregnancy. Obst Gyn 53: 64–70, 1979Google Scholar
  7. 7.
    Peerless SJ: Pre-and postoperative management of cerebral aneurysms. Clin Neurosurg 26: 209–231, 1979PubMedGoogle Scholar
  8. 8.
    Peerless SJ, Wallace MC, Drake CG: Giant intracranial aneurysms. In: Youmans JR (ed) Neurological surgery, vol 3, 3rd ed. Philadelphia: Saunders, 1990, pp 1742–1763Google Scholar
  9. 9.
    Peerless SJ, Hernesniemi JA, Gutman FB, Drake CG: Early surgery for ruptured posterior circulation aneurysms. J Neurosurg 80: 643–649, 1994PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag/Wien 1996

Authors and Affiliations

  • Charles G. Drake
    • 1
    • 2
  • Sydney J. Peerless
    • 2
  • Juha A. Hernesniemi
    • 3
  1. 1.Department of SurgeryUniversity of Western Ontario, University HospitalLondonCanada
  2. 2.Division of NeurosurgeryUniversity of Western Ontario, University HospitalLondonCanada
  3. 3.Department of NeurosurgeryUniversity Hospital of KuopioKuopioFinland

Personalised recommendations