Medical and Surgical Management of Intracranial Aneurysms

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Presentation transcript:

Medical and Surgical Management of Intracranial Aneurysms Fredric B. Meyer, M.D., Akio Morita, M.D., Michael R. Puumala, M.D., Douglas A. Nichols, M.D. Mayo Clinic Proceedings Volume 70, Issue 2, Pages 153-172 (February 1995) DOI: 10.4065/70.2.153 Copyright © 1995 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 1 Distribution of aneurysms by site for complete series of Mayo Clinic patients. ACA = anterior cerebral artery; BAC = basilar artery caput; ICA = internal carotid artery; MCA = middle cerebral artery; VB = vertebral artery. MCA, ACA, and ICA constitute anterior circulation, and VB and BAC constitute posterior circulation. Mayo Clinic Proceedings 1995 70, 153-172DOI: (10.4065/70.2.153) Copyright © 1995 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 2 Distribution of aneurysm by size for complete series of Mayo Clinic patients. Categories are secular (<1.5 cm), globular (1.5-2.5 cm), and giant (>2.5 cm). Mayo Clinic Proceedings 1995 70, 153-172DOI: (10.4065/70.2.153) Copyright © 1995 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 3 Distribution of aneurysms by outcome for complete series of Mayo Clinic patients. Categories of outcome are defined in Table 8. Mayo Clinic Proceedings 1995 70, 153-172DOI: (10.4065/70.2.153) Copyright © 1995 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 4 Outcome for each decade of life, as percentage of each age-group. Mayo Clinic Proceedings 1995 70, 153-172DOI: (10.4065/70.2.153) Copyright © 1995 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 5 Distribution by outcome for 1,196 patients treated surgically for aneurysmal subarachnoid hemorrhage (SAH). Mayo Clinic Proceedings 1995 70, 153-172DOI: (10.4065/70.2.153) Copyright © 1995 Mayo Foundation for Medical Education and Research Terms and Conditions

Fig. 6 Outcomes by time from subarachnoid hemorrhage (SAH) to operation tor patients with clinical modified Botterell grades 1 to 4, A-D, respectively, as percentage for each period. Day of SAH is considered day 0. For this group, 625 had grade 1, 343 had grade 2, 165 had grade 3, and 63 had grade 4. Mayo Clinic Proceedings 1995 70, 153-172DOI: (10.4065/70.2.153) Copyright © 1995 Mayo Foundation for Medical Education and Research Terms and Conditions