Giant Basilar Artery Bifurcation Aneurysms: 137 Cases

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


Our early experience with giant intracranial aneurysms, based on 174 patients, was published in 1979. That report included 76 on the carotid and 98 on the vertebral-basilar circulations, whose characteristics, methods of treatment and outcome were described in some detail. The series now number 732 cases, with the addition of 259 anterior and 299 posterior giant aneurysms.


Basilar Artery Mural Thrombus Basilar Artery Occlusion Bifurcation Aneurysm Complete Thrombosis 
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  1. 1.
    Alksne JF, Smith RW: Stereotactic occlusion of 22 consecutive anterior communicating artery aneurysms. J Neurosurg 52: 790–793, 1980PubMedCrossRefGoogle Scholar
  2. 2.
    Drake CG, Barr HWK, Coles JC, Gergely NF: The use of extracorporeal circulation and profound hypothermia in the treatment of ruptured intracranial aneurysm. J Neurosurg 21: 575–581, 1964PubMedCrossRefGoogle Scholar
  3. 3.
    Drake CG: On the surgical treatment of ruptured intra-cranial aneurysms. Clin Neurosurg 13: 122–155, 1966Google Scholar
  4. 4.
    Drake CG: Ligation of the vertebral (unilateral or bilateral) or the basilar artery in the treatment of large intracranial aneurysms. J Neurosurg 43: 255–274, 1975PubMedCrossRefGoogle Scholar
  5. 5.
    Drake CG: Giant intracranial aneurysms: Experience with surgical treatment in 174 patients. Clin Neurosurg 26: 12–95, 1979PubMedGoogle Scholar
  6. 6.
    Drake CG, Peerless SJ, Ferguson GG: Hunterian proximal arterial occlusion for giant aneurysms on the carotid circulation. J Neurosurg 81: 656–665, 1994PubMedCrossRefGoogle Scholar
  7. 7.
    Gallagher JP: Pilojection for intracranial aneurysms. Report of progress. J Neurosurg 21: 129–134, 1964PubMedCrossRefGoogle Scholar
  8. 8.
    Mullan S, Reyes C, Dawlwy J, Dobben G: Stereotactic copper electric thrombosis of intracranial aneurysms. In: Krayenbühl H, Maspes P, Sweet W (eds) Progress in neurological surgery, vol 3. Basel: Karger, 1969, pp 212–229Google Scholar
  9. 9.
    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
  10. 10.
    Pelz DM, Vinuela F, Fox AJ, Drake CG: Vertebrobasilar occlusion therapy of giant aneurysms. Significance of angiographic morphology of the posterior communicating arteries. J Neurosurg 60: 560–5, 1984PubMedCrossRefGoogle Scholar
  11. 11.
    Roach MR: A model study of why some intracranial aneurysms thrombose but others rupture. Stroke 9: 583–587, 1978PubMedCrossRefGoogle Scholar
  12. 12.
    Rush JA, Balis GA, Drake CG: Bitemporal hemianopsia in basilar artery aneurysm. J Clin Neuroophthalmol 1: 129–33, 1981PubMedGoogle Scholar
  13. 13.
    Spetzler RF, Hadley MN, Rigamonti D, Carter LP, Raudzens PA, Shedd SA, Wikinson E: Aneurysms of the basilar artery treated with circulatory arrest, hypothermia, and barbiturate cerebral protection. J Neurosurg 68: 868–879, 1988PubMedCrossRefGoogle Scholar
  14. 14.
    Steinberg GK, Drake CG, Peerless SJ: Deliberate basilar or vertebral artery occlusion in the treatment of intracranial aneurysms. J Neurosurg 79: 161–173, 1993PubMedCrossRefGoogle 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

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