Results of Neck Clipping and Intraaneurysmal Thrombectomy for Partially Thrombosed Giant Cerebral Aneurysms Compressing the Brainstem

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  • TAKEDA Ririko
    Department of Cerebrovascular Surgery, Saitama Medical University, International Medical Center
  • OGURA Takeshi
    Department of Neurosurgery, Kurosawa Hospital
  • NAKAJIMA Hiroyuki
    Department of Cerebrovascular Surgery, Saitama Medical University, International Medical Center
  • KIKKAWA Yuichiro
    Department of Cerebrovascular Surgery, Saitama Medical University, International Medical Center
  • KURITA Hiroki
    Department of Cerebrovascular Surgery, Saitama Medical University, International Medical Center

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  • 脳幹へのmass effectを有する部分血栓化巨大脳動脈瘤に対する頚部clippingおよび瘤内血栓除去術の治療成績

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Appropriate surgical treatment for partially thrombosed giant cerebral aneurysms compressing the brainstem remains unclear. Between 2011 and 2015, 4 patients with progressive neurological deterioration due to these complex lesions underwent direct neck clipping followed via intraaneurysmal thrombectomy in our institution. Postoperatively, the aneurysm size immediately decreased significantly, in association with early significant improvement in the surrounding brainstem edema. All patients showed neurological improvement after surgery. Our experience introduces this technique as a safe and more durable treatment option for the management of partially thrombosed giant cerebral aneurysms, especially in critical locations that require prompt decompression of vital structures.

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