Management of Intracranial Aneurysms and Subarachnoid Haemorrhage: Literature Review and Guidelines

Authors

  • Ashraf Mahmood Associate Prof. Department of Neurosurgery, SIMS/Services Hospital, Lahore
  • Muzaffar Hassan Kirmani House Surgeon, Department of Neurosurgery, SIMS/Services Hospital, Lahore

Keywords:

Intracranial Aneurysms, Subarachnoid Haemarrhage

Abstract

INTRODUCTION

Egas Moniz discovered an aneurysm by cerebral Angi-ography in 1933.1
Cushing introduced first aneurysmmal clip in 1911, Mayfield modified the existing spring clip with cross leg (Schwartz) by making it a smaller, tweezer – like applicator.2
An intracranial vascular procedure was first repo-rted with aid of operating microscope which introdu-ced simultaneously magnification and illumination.3
Dott in 1933 performed 1st planned intracranial surgery for a saccular aneurysm.4
Dandy in 1937 clipped the neck of aneurysm with a metallic clip.5
Yasirgill of Zurich and Drake of London Ontario, published a lot on aneurysms of anterior and posterior circulation.6,7
An elaborated study of natural history of aneurysm was published by the Pakarinen in 1967.8

References

1. Moniz E. Aneurysme intra- cranien de la carstide inter ne droiterendu visible par arteriographie cerebral. Rev Otoneuroopthamol. 1933; 11: 746-748.
2. Mayfield FH, kees Gjr. A brief history of the develop-ment of the Mayfield clip :technical note, J Neurosurg. 1971; 35: 97.Pak. J. of Neurol. Surg. – Vol. 20, No. 2, Apr. – Jun., 2016 -121-
3. Jacobson JH II, Wallman LJ, Schmacher GA, et al. Microsurgery as an aid to middle cerebral endarterec-tomy. J. Neurosurgery, 1962; 19: 108-114.
4. Dott NM. Intracranial aneyrysm: Cerebral arteri-radio-graphy: surgical treatment. Edinburgh Med J. 1933; 40: 219-240.
5. Dandy WE. Intracranial aneurysm of the internal caro-tid artery, cured by operation. Ann Surg. 1938; 107: 654-659.
6. Yasirgil MG. Microneurosurgery. Vol. 2. Clinical con-sideration surgery of the intracranial aneurysms and results. Stuttgart Thieme Verlag, 1984; Drake CG. Management of Cerebral aneurysm stroke, 1981; 12: 273-283.
7. Pakarinen S. Incidence, etiology and progress of pri-mary SAH: a study based on 589 cases diagnosed in a defined urban population during a defined period. Acta Neural Scand (Suppl.) 1967; 29: 1-128.
8. Pakarinen S. incidence, etiology and prognosis of pri-mary subarachnoid hammerrhage: a study based on 589 cases diagnosed in a defined urban population during a defined period. Acta Neurol Scand (Suppl.) 1967; 29: 1-128.
9. (Drake CG, Hunt WE, Kassel N et al. report of WFNS committee on a universal subarachnoid haemarrhage grading scale. J Neurosurg. 1988; 68: 985-986 (Letter).
10. Eskesen V, Rosenornj, Schmidtk. The influence of un-ruptured intracranial aneurysms on life expectancy in relation to their size at the time of detection and to age. Br J Neurosurg. 1988; 2: 379-384.
11. Gomez PA, Lobato RD, Rivas JJ, et al. Subarachnoid Hammhrage of unknown etiology. Acta Neurochir (Wien), 1989; 101: 35-41.
12. Acta Radial (Diagn) (Stockh), 1980; 21: 327-331.
13. Scotti G. Ethier R, Melancon D, et al. Computed tomo-graphy in the evaluation of intracranial aneurysm and subarachnoid haemarrhage. Radiology, 1977; 123: 85-90.
14. Silver AJ, Pederson ME Jr, Ganti SR, et al. CT of sub-arachnoid haemarrhage due to ruptured aneurysm. AMJ Neuroradiol. 1981; 2: 13-22.
15. Marden FA, Roy SS. Endovascular management of intracerebral and subarachnoid haemorrhage. Current Treat options Cardiovasc Med. 2005 Jul. 7 (3): 197-209 (Medline) You.

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Published

2018-10-03

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Section

Review Article