Giant unruptured middle cerebral artery aneurysm revealed by intracranial hypertension: is a systematic decompressive hemicraniotomy mandatory?

Our study aimed to evaluate the postoperative outcome of patients with unruptured giant middle cerebral artery (MCA) aneurysm revealed by intracranial hypertension associated to midline brain shift. From 2012 to 2022, among the 954 patients treated by a microsurgical procedure for an intracranial an...

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Bibliographic Details
Published in:Neurosurgical review 2024-08, Vol.47 (1), p.414, Article 414
Main Authors: Aboukais, Rabih, Devalckeneer, Antoine, Boussemart, Pierre, Bourgeois, Philippe, Menovsky, Tomas, Bretzner, Martin, Karnoub, Mélodie-Anne, Lejeune, Jean-Paul
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Decompressive Craniectomy - methods
Female
Humans
Intracranial Aneurysm - complications
Intracranial Aneurysm - surgery
Intracranial Hypertension - etiology
Intracranial Hypertension - surgery
Male
Medicine
Medicine & Public Health
Middle Aged
Middle Cerebral Artery - surgery
Neurosurgery
Treatment Outcome
Young Adult
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Summary:Our study aimed to evaluate the postoperative outcome of patients with unruptured giant middle cerebral artery (MCA) aneurysm revealed by intracranial hypertension associated to midline brain shift. From 2012 to 2022, among the 954 patients treated by a microsurgical procedure for an intracranial aneurysm, our study included 9 consecutive patients with giant MCA aneurysm associated to intracranial hypertension with a midline brain shift. Deep hypothermic circulatory flow reduction (DHCFR) with vascular reconstruction was performed in 4 patients and cerebral revascularization with aneurysm trapping was the therapeutic strategy in 5 patients. Early (
ISSN:1437-2320
1437-2320
DOI:10.1007/s10143-024-02662-z