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Postoperative angiogram of the right carotid artery demonstrating obliteration of the MCA aneurysm with two clips

Postoperative angiogram of the right carotid artery demonstrating obliteration of the MCA aneurysm with two clips

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BackgroundThe natural history of unruptured cerebral aneurysms is not clearly defined. MethodFifteen patients who were diagnosed with unruptured intracranial aneurysms and were surgically treated by clipping at our hospital during the years 2004–2005 were studied retrospectively. FindingsThere was no mortality. Early morbidity in this study was 6...

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... a right MCA aneurysm had an additional left ophthalmic artery aneurysm. All patients were examined preoperatively using cranial computed tomography, cranial MR and digital subtraction angiography (DSA). Some patients also had cranial MR angiography study. All aneurysms, except for one ophthalmic artery aneurysm, were repaired by clip placement (Figs. 1-3). The patient with the ophthalmic artery aneurysm was instead referred to neuroradiology for endovascular treatment after microsurgical treatment of the MCA aneurysm. Fourteen out of 15 patients underwent postoperative DSA for assessment of the occlusion of the ...

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Citations

Chapter
In 1893 William Gowers concluded that “If the diagnosis of an intracranial aneurysm is certain, the prognosis is extremely grave” (1). This statement is unfortunately still valid.