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Recurrence of Cerebral Aneurysms in the Long Term Follow-up after Aneurysm Surgery Shinzo YOSHIDA 1,2 , Yoshifumi ODA 1 , Shinichi SATO 1 , Shigeo MATSUMOTO 1 , Kang YOO 1 , Shuichi KOBAYASHI 1 , Satoshi MASUNAGA 1 , Hirotoshi IMAMURA 1 , Mutsumi HAYASE 1 1Department of Neurosurgery, Kobe City General Hospital 2Department of Neurosurgery, Yamatotakada Municipal Hospital Keyword: cerebral aneurysm , regrowth , de novo aneurysm , follow-up , MRA pp.1077-1082
Published Date 2000/12/10
DOI https://doi.org/10.11477/mf.1436901981
  • Abstract
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We investigated late aneurysmal recurrence in 71 patients who underwent direct operations for intracra-nial aneurysms during the period from 1981 to 1988 and were under 50 years old at the time of operation with ADI, rating of 1 or 2 at discharge. And out of the 71 patients, four had already sustained reattack of SAH and been confirmed to have recurrent anuerysms. Another two had been diagnosed as harboring un-ruptured recurrent aneurysms. Cerebral angiography was carried out for nine patients in the remaining 63, revealing aneurysmal recurrence in four patients. Overall, 14 recurrent aneurysms, 11 de novo and 3 re-growth aneurysms, have been found in 10 patients. Considering the high risk of aneurysmal recurrence, postoperative long-term follow-up including MRA and angiography is mandatory, especially for relatively young patients.


Copyright © 2000, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

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