Summary
The clinical results of surgery for unruptured aneurysms in the Neurosurgical Department of Kiel were analyzed to further discuss whether an operative treatment can be advised.
Between 1991 and 2001, 54 unruptured aneurysms in 45 patients were operated in our department.
No complications occurred in 38 patients; transient complications (slight aphasia, hemiparesis, psychiatric disorders) in 4 patients; postoperative seizures in one, epidural haematoma with the need of re-operation in one, and infection in another patient. At the time of discharge, GOS was 5 in 33 patients, 4 in 12 patients. But the slight disabilities were due to the aneurysm operation only in two patients, in the other 10 patients they were caused by pre-existing concomitant diseases. The Rankin-Scale after at least 6 months was 1 (no disability) in 31 patients (37 patients investigated); 2 (slight disability) in 5, and 3 (moderate disability) in one patient. In only one of these patients, the slight disability was caused by the aneurysm operation. During a telephone interview performed between 6 months and 7 years after the operation, all patients except two (31 patients investigated) gave a positive answer to the question, whether, in case of diagnosis of an aneurysm, they would undergo an operation again.
Regarding our results, we still advocate treatment of unruptured aneuryms in patients who are in stable clinical conditions, especially in young patients and in patients with unique aneurysm configurations and aneurysm sizes approaching 10 mm.
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References
Asari S, Ohmoto T (1993) Natural history and risk factors of unruptured cerebral aneurysms. Clin Neurol Neurosurg 95: 205–214
Bederson JB, Awad IA, Wiebers DO et al (2000) Recommendations for the management of patients with unruptured intracranial aneurysms. Circulation 102: 2300–2308
Brandt J, Spencer M, Folstein M (1988) Telephone Interview for Cognitive Status. Neuropsychiatr Neuropsychol Behav Neurol 1: 111–117
ISUIA investigators (1998) Unruptured intracranial aneurysms: risks of rupture and risks of surgical intervention. N Engl J Med 339: 1725–1733
Jane JA, Kassell NF, Torner JC et al (1985) The natural history of aneurysms and AVMs. J Neurosurg 62: 321–323
Locksley HB (1966) Natural history of subarachnoid hemorrhage, intracranial aneurysms and arteriovenous malformations. J Neurosurg 25: 321–368
Raaymakers TW, Rinkel GJ, Limburg M et al (1998) Mortality and morbidity of surgery for unruptured intracranial aneurysms: a meta-analysis. Stroke 29: 1531–1538
Rankin J (1957) Cerebral vascular accidents in patients over age 60. II. Prognosis. Scott Med J 2: 200–215
Yasui N, Magarisawa S, Suzuki A et al (1996) Subarachnoid hemorrhage caused by previously diagnosed, previously unruptured intracranial aneurysms: a retrospective analysis of 25 cases. Neurosurgery 39: 1096–1100
Yasui N, Suzuki A, Nishimura H et al (1997) Long-term follow-up study of unruptured intracranial aneurysms. Neurosurgery 40: 1155–1159
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© 2002 Springer-Verlag
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Hempelmann, R.G., Barth, H., Buhl, R., Mehdorn, H.M. (2002). Clinical Outcome after Surgery of Intracranial Unruptured Aneurysms: Results of a Series Between 1991 and 2001. In: Yonekawa, Y., Sakurai, Y., Keller, E., Tsukahara, T. (eds) New Trends in Cerebral Aneurysm Management. Acta Neurochirurgica Supplements, vol 82. Springer, Vienna. https://doi.org/10.1007/978-3-7091-6736-6_10
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DOI: https://doi.org/10.1007/978-3-7091-6736-6_10
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