Skip to main content
SpringerLink
Log in

Surgical treatment of unruptured intracranial aneurysms

  • Published:
Acta Neurochirurgica Aims and scope Submit manuscript

Summary

The author has reviewed a series of 19 patients with unruptured aneurysms treated surgically during a 5-year period from 1976 to 1981. Unruptured aneurysms found in patients with multiple aneurysms and subarachnoid haemorrhage due to ruptured aneurysms are not included in this series. Literature on this subject is reviewed. There was no mortality and results were excellent in 7 patients with asymptomatic aneurysms. In 12 patient with symptomatic aneurysms there was no mortality and results were good to excellent in 9 patients. In 2 the results were unsatisfactory.

The series included aneurysms varying in size from 5 mm to over 2.5 cm (giant aneurysm). Controversial aspects of surgery of unruptured intracranial aneurysms are discussed. The authors recommend surgical treatment of unruptured intracranial aneurysms regardless of size until such time when more definitive information is available about the natural history of these lesions.

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

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Fisher, M., Davidson, R. I., Marcus, E. M., Transient focal cerebral ischaemia as presenting manifestation of unruptured cerebral aneurysms. Ann. Neurol.8 (1980), 367–372.

    PubMed  Google Scholar 

  2. Jain, K. K., Surgery of intact intracranial aneurysms. J. Neurosurg.40 (1974), 495–498.

    PubMed  Google Scholar 

  3. Ojeman, R. G., Management of unruptured intracranial aneurysm (editorial). NEJM304 (12) (1981), 725–726.

    PubMed  Google Scholar 

  4. Salazar, J. L., Surgical treatment of asymptomatic and incidental aneurysms. J. Neurosurg.53 (1980), 20–21.

    PubMed  Google Scholar 

  5. Samson, D. S., Hodosh, R. M., Clark, W. K., Surgical management of unruptured asymptomatic aneurysms. J. Neurosurg.46 (1977), 731–734.

    PubMed  Google Scholar 

  6. Stewart, R. M., Samson, D., Diehl, J., Hinton, R., Ditmore, O. M., Unruptured cerebral aneurysms presenting as recurrent transient neurologic deficits. Neurology30 (1980), 47–51.

    PubMed  Google Scholar 

  7. Wiebers, D. O., Whitsnant, J. P., O'Fallon, W. M., The natural history of unruptured intracranial aneurysms. NEJM304 (12) (1981), 696–698.

    PubMed  Google Scholar 

  8. Zacks, D. J., Russel, D. B., Miller, J. D. R., Fortuitously discovered intracranial aneurysms. Arch. Neurol.37 (1980), 39–44.

    PubMed  Google Scholar 

Download references

Author information

Author notes

  1. K. K. Jain

    Present address: Division of Neurosurgery, University of California, Los Angeles, California, USA

Authors and Affiliations

    Authors
    1. K. K. Jain
      View author publications

      You can also search for this author in PubMed Google Scholar

    Rights and permissions

    Reprints and permissions

    About this article

    Cite this article

    Jain, K.K. Surgical treatment of unruptured intracranial aneurysms. Acta neurochir 66, 187–194 (1982). https://doi.org/10.1007/BF02074505

    Download citation

    • Issue Date:

    • DOI: https://doi.org/10.1007/BF02074505

    Keywords

    Search

    Navigation