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Titolo:
Moyamoya disease associated with basilar tip aneurysm
Autore:
Bhattacharjee, AK; Tamaki, N; Minami, H; Ehara, K;
Indirizzi:
Kobe Univ, Sch Med, Dept Neurosurg, Chuo Ku, Kobe, Hyogo 6500017, Japan Kobe Univ Kobe Hyogo Japan 6500017 g, Chuo Ku, Kobe, Hyogo 6500017, Japan
Titolo Testata:
JOURNAL OF CLINICAL NEUROSCIENCE
fascicolo: 3, volume: 6, anno: 1999,
pagine: 268 - 271
SICI:
0967-5868(199905)6:3<268:MDAWBT>2.0.ZU;2-Q
Fonte:
ISI
Lingua:
ENG
Soggetto:
OPERATION; OCCLUSION; SURGERY;
Keywords:
moyamoya disease; basilar tip aneurysm; rupture; surgical treatment;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
26
Recensione:
Indirizzi per estratti:
Indirizzo: Tamaki, N KobeoUniv, Sch Med, Dept Neurosurg, Chuo Ku, 7-5-1 Kusunoki Cho,Kobe, Hyog Kobe Univ 7-5-1 Kusunoki Cho Kobe Hyogo Japan 6500017 Kobe, Hyog
Citazione:
A.K. Bhattacharjee et al., "Moyamoya disease associated with basilar tip aneurysm", J CL NEUROS, 6(3), 1999, pp. 268-271

Abstract

Direct surgical intervention to treat ruptured basilar tip aneurysms in patients with moyamoya disease has rarely been attempted, and patients who have undergone such treatment have not fully recovered. We review six cases of surgically treated ruptured basilar tip aneurysm associated with moyamoyadisease, including our own case to illustrate aspects of surgical intervention and the difficulties encountered. Patients who underwent surgery after4 weeks of the onset of symptoms showed impressive results. Of the patients who underwent surgery in the acute stage, two died, including our patient, and one showed excellent recovery. II is emphasized that to achieve satisfactory surgical outcome, the following factors should be considered: (i) delayed operation is preferable, with extracranial-intracranial bypass in selected patients; (ii) careful preservation of moyamoyas and transdural collaterals is mandatory; (iii) intraoperative rupture of the aneurysm should be avoided; and (iv) using a neuroanaesthetic technique of induced hypothermia and hypertension may be preferable.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 28/11/20 alle ore 21:38:14