Chief of Neurosurgical Unit, Surgical Clinic, and Assistant Professer of Neurological and Neurosurgery, Faculty of Medicine, Sarajevo, Yugoslavia.
Garyounis Medical Journal Vol. 3, No.1. January 1980:27-32
The author describes 11 consecutive cases of cerebral aneurysms which were identified as “giant aneurysms” on the basis of the size alone. The intracranial aneurysms over 25 mm in size caused expanding mass effect more often than spontaneous subarachnoidal hemorrhage. They commonly originate from internal carotid artery (63.6%), but are also found on middle, anterior and posterior cerebral arteries. A majority of these lesions occur in children. The aneurysms are mainly saccular inform and easily visible on angiography. Most of the lesions are partly thrombosed, and sometimes the thrombosis is voluminous with only a persistent serpentine vascular channel. Thickened capsule with vessels can be found in surgically removed aneurysms. Mortality rate is high, but when the patient is not moribund on admission, surgical excision of these lesions can be associated with a good result.
From the evaluation of existing clinical material on the subject, it seems evident that giant intracranial aneurysms represent a significantly different pathological and clinical group among brain vascular lesions.
Keywords: Clinical Data and Management of 11 Consecutive Cases of Giant Intracranial Aneurysms