Summary
Microsurgery has improved the treatment of cerebral aneurysms technically and by more detailed knowledge of the topographic relations, the variations, and the anomalies of the involved arteries. A personal study of 450 aneurysms formed the basis of a modified and more detailed classification of aneurysms of the carotid system. It was confirmed that aneurysms originate at the junctions of arteries, and generally project according to the course of the vessel involved. The origins and projections of aneurysms and their different sites were analyzed with the aid of angiography, angiotomography, magnification angiography, operative drawings, photographs, and films, which permitted the establishment of a special classification for every particular form. Preoperative knowledge of the types of aneurysms facilitates the surgical procedures and results in lowered morbidity.
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References
L'anévrisme de l'artère communicante antérieure. Paris: Masson. 1959. With contributions by Krayenbühl, Laine, Lazorthes, and Yaşargil.
Björkesten, G., Arterial aneurysms of the internal carotid artery and its bifurcation. J. Neurosurg.15 (1958), 400–410.
David, M., Sachs, M., Les anévrismes de la bifurcation de la carotide interne. Neurochirurgia10 (1967), 96–105.
Dawson, B. H., The blood vessels of the human optic chiasma and their relation to those of the hypophysis and hypothalamus. Brain81 (1958), 207–217.
Dechaume, J. P., Aimard, G., Michel, D., Bret, P., Desgeorges, M., Lapras, C., Lecuire, J., Anévrismes de l'artère péricalleuse. Neuro-Chirurgie19 (1973), 135–150.
Drake, C. G., Vanderlinden, R. G., Amacher, A. L., Carotid-ophthalmic aneurysms. J. Neurosurg.29 (1968), 24–31.
— — —, Carotid-choroidal aneurysms. J. Neurosurg.29 (1968), 32–36.
Dunker, R. O., Harris, A. B., Surgical anatomy of the proximal anterior cerebral artery. J. Neurosurg.44 (1976), 359–367.
Fisher, R. G., Ciminello, V., Pericallosal aneurysms. J. Neurosurg.25 (1966), 512–515.
Guidetti, B., la Torre, E., Carotid-ophthalmic aneurysms. Acta Neurochir.22 (1970), 289–304.
Höök, O., Norlén, G., Aneurysms of the middle cerebral artery. Acta Chir. Scand., Suppl.25 (1958), 1–39.
Intracranial Aneurysms and Subarachnoid Hemorrhage. A cooperative study. Edit. Sahs, Perret, Locksley, and Nishioka. Philadelphia and Toronto: J. B. Lippincott Comp. 1969.
Kothandaram, P., Dawson, B. H., Kruyt, R. C., Carotid-ophthalmic aneurysms. J. Neurosurg.34 (1971), 544–548.
Krayenbühl, H. A., Yaşargil, M. G., Flamm, E. S., Tew, J. M., Microsurgical treatment of intracranial saccular aneurysms. J. Neurosurg.37 (1972), 678–686.
Laitinen, L., Snellman, A., Aneurysms of the pericallosal artery. J. Neurosurg.17 (1960), 447–458.
Lazorthes, G., Gaubert, J., Poulhès, J., La distribution centrale et corticale de l'artère cérébrale antérieure. Neuro-Chirurgie2 (1956), 237–253.
Perlmutter, D., Rhoton, A. L., jr., Microsurgica1 anatomy of the anterior cerebral-anterior communicating-recurrent artery Simplex. J. Neurosurg.45 (1976), 259–272.
Pertuiset, B., Lepoire, J., Boudin, G., Cabezas, C., Les anévrismes de l'artère péricalleuse. Neuro-Chirurgie7 (1961), 321–338.
Pia, H. W., Fontaria, H., Classification and symptomatology of posterior cerebral aneurysms. Acta Neurochir.38 (1977), 13–35.
Richardson, A. E., Jane, J. A., Payne, P. M., Assessment of the natural history of anterior communicating aneurysms. J. Neurosurg.21 (1964), 266–272.
Sengupta, R. P., Lassman, L. P., de Moares, A. A., Garvan, N., Treatment of internal carotid bifurcation aneurysms by direct surgery. J. Neurosurg.43 (1975), 343–351.
Sugar, O., Tinsley, M., Aneurysms of terminal portion of anterior cerebral artery. Arch. Neurol. (Chicago)60 (1948), 81–85.
Thomas, D. G. T., Paterson, A., Result of surgical treatment of pericallosal aneurysms. J. Neurol. Neurosurg. Psychiat.38 (1975), 826–827.
Thurel, C., Rey, A., Thiébaut, J. B., Chai, N., Houdart, R., Anévrismes carotido-ophthalmiques. Neuro-Chirurgie (Paris)20 (1974), 25–39.
van der Ark, G. D., Kempe, L. C., Classification of anterior communicating aneurysms as a basis for surgical approach. J. Neurosurg.32 (1970), 300–303.
—, Kempe, L. G., Kobrine, A., Classification of internal carotid aneurysms as a basis for surgical approach. Neurochirurgia15 (1972), 81–85.
Wilson, C. B., Christensen, F. K., Subrahmanian, M. V., Intracranial aneurysms at the pericallosal artery bifurcation. Am. Surg.31 (1965), 386–393.
Yaşargil, M. G., Carter, L. P., Saccular aneurysms of distal anterior cerebral artery. J. Neurosurg.39 (1974), 218–223.
—, Fox, J. L., Ray, M. W., The operative approach to aneurysms of the anterior communicating artery. In: Advances and Technical Standards in Neurosurgery, Vol. 2, pp. 128–132 (Krayenbühl, H., ed.). Wien-New York: Springer. 1975.
—, Fox, J. L., The microsurgical approach to intracranial aneurysms. Surgical Neurology3 (1975), 7–14.
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Pia, H.W. Classification of aneurysms of the internal carotid system. Acta neurochir 40, 5–31 (1978). https://doi.org/10.1007/BF01773112
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DOI: https://doi.org/10.1007/BF01773112