The surgical management of contralateral anterior circulation intracranial aneurysms

J. H A McMahon, M. K. Morgan*, M. A J Dexter

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

20 Citations (Scopus)

Abstract

This study reviews the surgical management of contralateral anterior circulation aneurysms in patients with bilateral intracranial aneurysms repaired following a unilateral craniotomy. Between 1993 and 1999, 27 patients had 88 intracranial aneurysms repaired. Eleven patients presented following subarachnoid haemorrhage. Excluding midline aneurysms, 31 anterior circulation aneurysms were contralateral to the craniotomy and all were repaired at the same time that ipsilateral or midline aneurysms were repaired. Morbidity included one death and one case of loss of unilateral vision directly attributable to surgery and two cases of cerebral infarction due to vasospasm. No new neurological deficit or mortality could be directly attributed to the repair of a contralateral aneurysm. The repair of all accessible aneurysms, including those contralateral to the craniotomy, during one session avoids the risk of haemorrhage from incidental or unrecognised ruptured aneurysms (particularly during the aggressive treatment of vasospasm), avoids a second craniotomy, decreases overall hospitalisation and can improve visualisation of carotid-ophthalmic aneurysms.

Original languageEnglish
Pages (from-to)319-324
Number of pages6
JournalJournal of Clinical Neuroscience
Volume8
Issue number4
DOIs
Publication statusPublished - 2001
Externally publishedYes

Keywords

  • Carotid aneurysm
  • Cerebral aneurysm
  • Contralateral aneurysm
  • Multiple aneurysms
  • Ophthalmic aneurysm
  • Orbitofrontotemporal craniotomy
  • Subarachnoid haemorrhage

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