Summary
Among 964 patients diagnosed and treated for intracranial aneurysms in 5 evidence of formation of new aneurysms was found. Repeat angiography, performed after the second SAH, revealed new aneurysms on arteries normal on previous angiograms; there were multiple aneurysms in 3 cases. In 4 cases, the aneurysms were formed within 3 to 6 years. In the authors' opinion, the possibility of formation of new aneurysms after the cure of a demonstrable one, should be considered in all aneurysmal patients, especially in multiple cases. Possible mechanisms of development of new aneurysms are discussed.
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References
Bidziński J, Bonicki W, Kolity GV, Zaręba A (1989) Ruptured intracranial aneurysm associated with spontaneous occlusion of internal carotid artery. Acta Neurochir (Wien) 100: 43–45
Bidziński J, Marchel A, Pastuszko M (1990) Acute surgery in intracranial aneurysms. Experience with 100 cases. Acta Neurochir (Wien) 103: 1–4
Dacey RG Jr, Pitkethly D, Winn HR (1985) Enlargement of intracranial aneurysm in the eight decade of life. J Neurosurg 62: 600–602
Fergusson GG (1972) Physical factors in the initiation, growth and rupture of human intracranial saccular aneurysms. J Neurosurg 37: 667–677
Fox JL (1982) Intracranial aneurysms, vol 1. Springer, pp358–395
Graf CJ, Hamby WB (1964) Report of a case of cerebral aneurysm in an adult developing apparently de novo. J Neurosurg Psychiatry 27: 153–156
Hassler O (1963) Experimental carotid ligation followed by aneurysmal formation and other morphological changes in the circle of Willis. J Neurosurg 20: 1–7
Hassler O (1963) Effect of experimental hypertension on media defects in rabbit arteries. Angiologica 5: 364–369
Locksley HB (1966) Report on the cooperative study of intracranial aneurysms and subarachnoid haemorrhage. Section V, Part I: Natural history of subarachnoidal haemorrhage, intracranial aneurysms and arterio-venous malformations. J Neurosurg 25: 219–239
McCormick WF, Schmalstieg EJ (1977) The relationship of arterial hypertension to intracranial aneurysms. Arch Neurol 34: 285–287
Sekhar LN, Heros RC (1981) Origin, growth and rupture of saccular aneurysms. A review. Neurosurgery 8: 248–260
Stehbens WE (1963) Histopathology of cerebral aneurysms. Arch Neurol 8: 272–285
Stehbens WE (1975) Ultrastructure of aneurysms. Arch Neurol 32: 792–807
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Marchel, A., Bidziński, J. & Bojarski, P. Formation of new aneurysms. Report of five cases. Acta neurochir 112, 96–99 (1991). https://doi.org/10.1007/BF01405134
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DOI: https://doi.org/10.1007/BF01405134