Treatment of Multiple Intracranial Aneurysms, Microsurgical and Anaesthetic Techniques

Authors

  • Sira Bunyaratavej Department of Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
  • Somsri Pausawasdi Department of Anesthesiology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand

Keywords:

Multiple intracranial aneurysms, Microsurgical techniques, Anaesthetic techniques

Abstract

Multiple intracranial aneurysms present many difficulties in surgical judgement as to when and which of them should be operated on first. The authors suggest that all should be dealt with at one sitting and describe microsurgical and anaesthetic techniques. Four consecutive cases were treated in this manner with satisfactory result. The method of approach to the aneurysms, lumbar drainage, hypotension and late or no blood transfusion are the essentials in the techniques described.

References

1. Paterson A, Bond MR: Treatment of Multiple Intracranial Arterial Aneurysms, Lancet 1:1302-1304, 1973.

2. Back JB, Fleming PM: Multiple Intracranial Arterial Aneurysms: Current Thought About Diagnosis and Treatment. Military Medicine 139:37-40, 1974.

3. Gillingham FJ: The Management of Ruptured Intracranial Aneurysm, Ann R Coll Surg Engl 23:89-117,1958.

4. Sahs AL, Perret GE, Locksley HB: Intracranial Aneurysms and Subarachnoid Haemorrhage: A Cooperative Study. Philadelphia, 1969.

5. Wood EH: Angiographic Identification of the Ruptured Lesion in Patients with Multiple Cerebral Aneurysms. J Neurosurg 21:182-198, 1964.

6. Yasargil MG, Fox JL: The Microsurgical Approach to Intracranial Aneurysms. Surg Neurol 3:7-14, 1975.

7. Greenbaum R: General Anaesthesia for Neurosurgery. Br J Anaesth 48:773-779, 1976.

8. Michenfelder JD, Gronert GA, Rehder K: Neuroanesthesia, Anesthesiology, 1969.

9. Aitken RR, Drake CG: A Technique of Anesthesia with Induced Hypotension for Surgical Correction of Intracranial Aneurysms, Clinical Neurosurgery 21:107-114, 1974.

10. Yasion D, Magness II AP, Vise W: Systemic Hypotension in Neurosurgery. J Neurosurg 43:579-589, 1975.

11. Bunyaratavej S: Clinical Experience of Pentosifylline in the Microsurgery of Intracranial Aneurysms, Singapore Med J 20:26-28, supplement, 1979.

Downloads

Published

1980-06-30

How to Cite

1.
Bunyaratavej S, Pausawasdi S. Treatment of Multiple Intracranial Aneurysms, Microsurgical and Anaesthetic Techniques. Thai J Surg [Internet]. 1980 Jun. 30 [cited 2024 Nov. 23];1(2):47-50. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/249122

Issue

Vol. 1 No. 2 (1980): April - June

Section

Case Reports

License

Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.