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Journal of Korean Neurosurgical Society > Volume 22(12); 1993 > Article
Journal of Korean Neurosurgical Society 1993;22(12): 1324-1334.
The Central Infarctions after Surgery for Anterior Circulation Aneurysm.
Sung Woo Seo, Han Kyu Kim, Jae Gon Moon, Yong Soon Hwang, Hwa Dong Lee
Department of Neurosurgery, College of Medicine, Kosin University, Pusan, Korea.
ABSTRACT
Among the series of 272 cases of surgically treated anterior circulation aneurysms, we experienced 6 cases of central infarctions involving caudate nucleus, globus pallidus, putamen and genu of internal capsule respectively or in combination. These surgery related complications were caused by the injury to the perforators going to the anterior perforated substance during manipulation of the large aneurysm or the aneurysms ruptured prematurely. The clinical courses of these patients, however, were not so severe. The morbidities were minimal or none after the average follow-up periods of 17 months. Thorough knowledge of the anatomy of the perforators may help to minimize the severe morbidity in the management of large or difficult aneurysms.
Key Words: Central infarction; Perforators; Anterior peforated substance(APS); Aneurysm surgery
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