Therapy of giant aneurysms in the region of the base of the skull
Hamm, K.D.; Besel, R.; Pothe, H.; Kachel, R.
Zentralblatt für Chirurgie 110(8): 472-481
1985
ISSN/ISBN: 0044-409X PMID: 4002911 Document Number: 253031
The introduction of microsurgical techniques has given a new impetus to operative therapy of cerebral aneurysms. Method of choice is clip occlusion of the aneurysmal neck, but this goal cannot always be attained. Usually, fusiform shaped aneurysms and so-called giant aneurysms can only be treated by occlusing the feeding vessels. In such cases the preliminary extra-intracranial bypass provides optimal conditions for interrupting the main feeder. Special points of view regarding these rare aneurysms and their haemodynamic relationships to cerebral circulation are discussed. A therapeutical concept is proposed on the basis of three case reports.