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Journal of Korean Neurosurgical Society 1990;19(8-9): 1107-1114. |
| Multiple Aneurysm-Which One Ruptured?. |
| Seong Ho Kim, Jang Ho Bae, Eun Sig Doh, Sam Kyu Ko, Oh Lyong Kim, Yong Chul Chi, Byung Yorn Choi, Soo Ho Cho |
| Department of Neurosurgery, College of Medicine, Yeungnam University, Taegu, Korea. |
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| ABSTRACT |
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Brain Computerized Tomography(CT) and cerebral angiography were reviewed in thirty-six patients with multiple intracranial aneurysms(22.5%) among the 160 consecutive surgical cases of intracranial aneurysms. The prevalent sites of multiple aneurysms were the middle cerebral artery(37.0%), posterior communicating artery(22.2%), and internal carotid artery(14.8%) in sequence. However, the vertebrobasilar system(83.3%), anterior communicating artery(63.6%), and posterior communicating artery(50.0%) had higher probability of rupture than internal carotid artery(8.3%) or middle cerebral artery(33.3%). Based on CT and angiographic information, the site of rupture can be predicted with a high degree of reliability. These factors were the presence of localized hemorrhage on CT, focal vasospasm, size and irregularity of aneurysms, and relative hyperplasia of parent artery. |
| Key Words:
Computerized tomography; Cerebral angiography; Multiple aneurysm; Site of rupture |
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