The authors describe 3 cases of saccular aneurysms of the pericallosal artery. They accounted for 3.36% of all intracranial aneurysms in the material of the authors. Difficulties in management of pericallosal artery aneurysms are discussed. All patients with aneurysms in this area were operated upon from an approach through the interhemispheric fissure and the results were good.

Adult↗

PubMedDate not supplied

[Outline of the history of the treatment of cerebral aneurysms].

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Europe↗

PubMedDate not supplied

[Aneurysm of the azygos anterior cerebral artery].

A case of aneurysm associated with the anterior cerebral artery is described. The authors stress diagnostic difficulties in such cases and discuss the coexistence of vascular anomalies and cerebral aneurysms.

Cerebral Angiography↗

PubMedDate not supplied

[ABO blood groups in glioblastoma multiforme].

The distribution of ABO blood groups was analysed statistically in 271 patients treated for glioblastoma multiforme. The control group included 500 patients treated for craniocerebral trauma. A statistically significant difference was observed in the distribution of ABO blood groups between these patient groups, with higher frequency of group A and lower of group O in the patients with glioblastoma multiforme.

ABO Blood-Group System↗

PubMedDate not supplied

[Brain abscesses of unknown etiology].

On the basis of literature data and own material of 18 cases of cerebral abscesses of unknown origin the authors discuss their incidence, most frequent locations, diagnostic difficulties and results of surgical treatment in relation to remaining groups of cerebral abscesses of known aetiology.

Adult↗

PubMedDate not supplied

[Radical and conservative methods in the surgical treatment of brain abscesses].

In the light of own experience with 50 patients with brain abscesses and a survey of the literature the authors discuss the values of the surgical methods of treatment in this disease. When the radical methods are used the mortality is lowest and the incidence of recurrent abscesses is lowest, but of this treatment is likely to produce considerable neurological deficit it is better to apply conservative methods, such as puncture and drainage of the abscess. The sparing operation as a method of choice may be the first stage of treatment before radical operation in acute abscess and in patients in serious clinical condition.

Acute Disease↗

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[Fronto-temporo-sphenoidal craniotomy using the Yasargil method in operations of aneurysms and expanding lesions of basal areas of the brain].

The authors describe in detail the technique of fronto-temporo-sphenoidal craniotomy of Yasargil and stress its advantages in surgical treatment of aneurysms of the circle of Willis. This method was used in surgical treatment of 82 patients with intracranial aneurysms, expanding lesions situated in the vicinity of the sella and ala parva of the sphenoid bone, and with other intracranial processes, and very good conditions for operation were obtained. The authors believe that fronto-temporo-sphenoidal craniotomy is the most favourable approach for the management of aneurysms of the circulus arteriosus.

Circle of Willis↗

PubMedDate not supplied

[Surgical treatment of aneurysms of the anterior communicating artery using Yasargil's approach].

The results of surgical treatment in 19 cases of aneurysms of the anterior communicating artery from the approach described by Yasargil are described. In 16 patients the pedicle of the aneurysm was closed with a clip, in 2 cases the anterior communicating artery was excluded from the circulation by trapping, and in only 1 patient the aneurysm was enclosed in muscle and gazue. Control angiography demonstrated in 16 cases exclusion of the aneurysm from the circulation with maintenance of the patency of the main vessels, and in one case the sac of the aneurysm was partly shadowed. Good results were obtained in 80% of cases. One patient died (5%). Complications with development of Korsakoff's syndrome were observed in 3 patients (15%). The advantages of the approach described by Yasargil for the exposure and safe management of anterior communicating artery aneurysms are stressed.

Adolescent↗

PubMedDate not supplied