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Stereotactic laser-guided approach to distal middle cerebral artery aneurysms

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Summary

The Steiner-Lindquist laser intra-operative guidance method is described and its application in the surgical treatment of mycotic aneurysm is presented. Three illustrative cases of distal middle cerebral artery aneurysms are reported. The authors argue that all ruptured mycotic aneurysms should be treated surgically. The laserguided stereotactic approach is presented as simple, flexible and reliable method to improve safety and accuracy of the operation in these cases. In our experience it compares favorably with previously described stereotactic techniques.

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References

  1. Alksne JF, Fingerhut A, Rand R (1966) Magnetically controlled met allic thrombosis of intracranial aneurysms. Surgery 60: 212–218

    Google Scholar 

  2. Alksne JF, Smith RW (1980) Stereotaxic occlusion of 22 consecutive anterior communicating artery aneurysms. J Neurosurg 52: 790–793

    PubMed  Google Scholar 

  3. Barrow DL, Prats AR (1990) Infectious intracranial aneurysms: comparison of groups with and without endocarditis. Neurosurgery 27: 562–572

    PubMed  Google Scholar 

  4. Bergström M, Greitz T, Steiner L (1980) An approach to stereotaxic radiology. Acta Neurochir (Wien) 54: 157–165

    Google Scholar 

  5. Bingham WF (1977) Treatment of mycotic intracranial aneurysms. J Neurosurg 46: 428–437

    PubMed  Google Scholar 

  6. Bohmfalk GL, Story JL, Wissinger JP, Brown WE Jr (1978) Bacterial intracranial aneurysms. J Neurosurg 48: 369–382

    PubMed  Google Scholar 

  7. Clare CE, Barrow DL (1992) Infectious intracranial aneurysms. Neurosurg Clin North Am 3: 551–566

    Google Scholar 

  8. Day AL (1981) Extracranial-intracranial bypass grafting in the surgical treatment of bacterial aneurysms: report of two cases. Neurosurgery 9: 583–588

    PubMed  Google Scholar 

  9. Guo WY, Lindqvist M, Lindquist C, Ewicson K, Nordell B, Karlsson B, Kihlström (1992) Stereotaxic angiography in Gamma knife radiosurgery of intracranial arteriovenous malformations. AJNR 13: 1107–1114

    PubMed  Google Scholar 

  10. Hadley MN, Spetzler RF, Martin NA, Johnson PC (1988) Middle cerebral artery aneurysm due to Nocardia asteroides: case report of aneurysm excision and extracranial bypass. Neurosurgery 22: 923–928

    PubMed  Google Scholar 

  11. Kikuchi K, Watanabe K, Sugawara A, Kowada M (1985) Multiple fungal aneurysms: report of a rare case implicating steroid as predisposing factor. Surg Neurol 24: 253–259

    PubMed  Google Scholar 

  12. Kandell EI (1987) Stereotactic clipping of arterial aneurysm and arteriovenous malformations of the brain. In: Tasker RT (ed) Neurosurgery: stereotactic surgery, Vol 2, No 1. Hanley and Belfus, Philadelphia, pp 309–328

    Google Scholar 

  13. Kandell EI, Peresedov VV (1977) Stereotaxic clipping of arterial aneurysm and arteriovenous malformations. J Neurosurg 46: 12–23

    PubMed  Google Scholar 

  14. Lin JP, Kricheff II (1985) Neuroradiology of intracranial aneurysms. In: Fein JM, Flamm ES (eds) Cerebrovascular surgery, Vol III. Springer, Wien New York, pp 679–754

    Google Scholar 

  15. Mielke B, Weir B, Oldring D, von Westarp C (1981) Fungal aneurysm: case report and review of the literature. Neurosurgery 9: 578–582

    PubMed  Google Scholar 

  16. Mullan S (1974) Experience with surgical thrombosis of intracranial berry aneurysms and carotid cavernous fistulas. J Neurosurg 41: 657–670

    PubMed  Google Scholar 

  17. Ojemann RG (1984) Infectious intracranial aneurysms. In: Fein JM, Flamm ES (eds) Cerebrovascular surgery, Vol III. Springer, Wien New York, pp 1047–1060

    Google Scholar 

  18. Ojemann RG, Heros RC, Crowell RM (1988) Infectious aneurysms. In: Surgical management of cerebrovascular disease, 2nd Ed. Williams and Wilkins, Baltimore, pp 337–346

    Google Scholar 

  19. Osier W (1885) Malignant endocarditis. Lancet 1: 415–418

    Google Scholar 

  20. Stein BM, Sisti MB, Kader A (1993) Letter to the editor: microsurgery and radiosurgery in small AVM's. J Neurosurg 79: 795–797

    Google Scholar 

  21. Steinberg GK, Guppy KH, Adler JR, Silverberg GD (1992) Stereotactic, angiography-guided clipping of a distal mycotic intracranial aneurysm using the Cosman-Roberts-Wells system: technical note. Neurosurgery 30: 408–411

    PubMed  Google Scholar 

  22. Steiner L, Lindquist C (1994) A stereotactic guide for microsurgery. A technical note. Acta Neurochir (Wien) 129: 82–84

    Google Scholar 

  23. Uematsu S, Rosenbaum AE, Erozan YS, Gupta PK, Moses H, Nauta HJ, Rigsby WH, Wang A, Weiderman L, Kumar AJ (1987) Intraoperative CT monitoring during stereotactic brain surgery. Acta Neurochir (Wien) [Suppl] 39: 18–20

    Google Scholar 

  24. Visudhiphan P, Bunyaretavej S, Khantanaphar S (1973) Cerebral aspergillosis: report of 5 cases. J Neurosurg 38: 472–476

    PubMed  Google Scholar 

  25. Wu A, Flickinger JC, Kalend AM, Maitz AH, Lunsford LD (1991) Exact determination of the magnification factor for target lesions in a stereotactic frame. Am Assoc Phys Med 18: 804–805

    Google Scholar 

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Malik, J.M., Kamiryo, T., Goble, J. et al. Stereotactic laser-guided approach to distal middle cerebral artery aneurysms. Acta neurochir 132, 138–144 (1995). https://doi.org/10.1007/BF01404862

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