Summary
336 cerebral aneurysms were treated during the past 18 years. Amongst these, 30 patients harboured aneurysms in vertebro-basilar circulation and form the subject material to be analysed. 17 were non-surgically treated whilst 13 cases received surgical treatment. In the group of non-surgical treatment, 6 were found in a moribund stage on admission, 9 had rebled during hospitalization and died. 2 other patients with large or giant aneurysms were treated palliatively and conservatively. They still survived over 18 months. 12 aneurysms were surgically clipped and 1 was wraped with muscle. 2 of them died 1 week postoperatively due to pulmonary embolism. Risk factors are discussed. In contrast to the aneurysms of other circulatory territories vertebro-basilar aneurysms should be operated at the earliest possible opportunity; waiting does not provide an additional advantage to offset the risk of high mortality and morbidity after recurrent haemorrhage and vasospasm in this region.
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Tiyaworabun, S., Wanis, A., Schirmer, M. et al. Aneurysms of the vertebro-basilar system: Clinical analysis and follow-up result. Acta neurochir 63, 221–229 (1982). https://doi.org/10.1007/BF01728876
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DOI: https://doi.org/10.1007/BF01728876