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Acta Neurochirurgica

, Volume 82, Issue 3–4, pp 92–101 | Cite as

The surgery of middle cerebral artery aneurysms

  • E. Pásztor
  • J. Vajda
  • J. Juhász
  • Sz. Tóth
  • Éva Orosz
  • M. Horváth
Article

Summary

Aneurysms of the middle cerebral bifurcation represent an interesting entity among intracranial saccular aneurysms. Their shape, size, situation, and in particular their relation to the middle cerebral trunk and its branches show wide variations. Topographical analysis of the angiograms offers a great deal of interest in planning surgery.

Our experience with 289 patients with middle cerebral artery aneurysms operated on since 1977 are presented. Factors such as number of previous haemorrhages, timing of surgery, preoperative condition, major intraoperative bleeding or brain oedema and delayed postoperative deterioration play a major role in the outcome. Others such as severity of the subarachnoid bleed, age, size of the sac seem to have much less influence.

Keywords

Aneurysm middle cerebral artery aneurysm vasospasm timing of surgery 

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Copyright information

© Springer-Verlag 1986

Authors and Affiliations

  • E. Pásztor
    • 1
  • J. Vajda
    • 1
  • J. Juhász
    • 1
  • Sz. Tóth
    • 1
  • Éva Orosz
    • 1
  • M. Horváth
    • 1
  1. 1.National Institute of NeurosurgeryBudapestHungary

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