Aneurismi vertebro-basilari

Abstract

English

Sulla base di una revisione casistica degli aneurismi del distretto vertebro-basilare osservati negli ultimi died anni, sono stati raccolti 48 pazienti, 32 dei quali operati, portatori di 53 aneurismi vertebro-basilari e tre aneurismi del distretto carotideo. In sei casi veniva riscontrata associazione con malformazioni artero-venose sottotentoriali. Nella gran parte dei casi l'indagine angiografica è stata completata da esame TC e talvolta da RM. Seguendo la letteratura in argomento gli aneurismi sono stati classificati secondo criteri di sede, dimensioni e morfologia. Nella trattazione vengono quindi distinte le lesioni ad inserzione sull'asse vertebro-basilare e le forme distali. Il quadro di esordio clinico ed i reperti TC, salvo eccezioni, appaiono poco specifici per una localizzazione topografica della malformazione vascolare.

Keywords

aneurismi circolo vertebro-basilare angiografia

Get full access to this article

View all access options for this article.

References

Amacher

Drake

Ferguson

: Posterior circulation aneurysms in young people. Neurosutrgery 8: 351–320, 1981.

Beck

Boarini

Kassel

: Surgical treatement of giant aneurysms of verterbral-basilar junction. Surg Neurol 12: 283–385, 1979.

Bull

: Contribution of radiology to the study of intracranial aneurysms. Br Med J 2: 1701–1708, 1962.

Campos

Fox

: Saccular aneurysms in basilar artery fenestration. AJNR 8: 233–236, 1987.

Da Pian

Pasqualin

Scienza

: Aneurismi ed angiomi cerebrali: Principi di trattamento. Ed Lib Cortina, Verona 1986.

Drake

: The treatement of aneurysms of the posterior circulation. Clin Neurosurg 26: 96–144, 1979.

Drake

: Bleeding aneurysms of the basilar artery. Direct surgical management in four cases. J Neurosurg 18: 230–238, 1961.

Drake

Amacher

: Aneurysms of the posterior cerebral artery. J Neurosurg 30: 468–474, 1969.

Drake

: Management of aneurysms of posterior circulation. In: Joumans

: Neurological Surgery, Saunders, 11: 787–806, 1983.

10.

Gacs

Vinuela

: Peripheral aneurysms of the cerebellar arteries. J Neurosurg 58: 63–68, 1983.

11.

Giannotta

Maceri

: Retrolabyrinthine transigmoid approach to basilar trunck and vertebrobasilar artery junction aneurysms. Technical note. J Neurosurg 69: 461–466, 1988.

12.

Heikkinen

Koivukangas

: Surgery of vertebrobasilar aneurysms and nimodipine. Ann Clin Res 47: 51–56, 1968.

13.

Hirschfeld

Flamm

: Extracranial aneurysm arising from posterior inferior cerebellar artery. J Neurosurg 54: 537–539, 1981.

14.

Hishimoto

Fujimoto

: Anterior inferior cerebellar artery aneurysm. J Neurosurg 59: 697–702, 1983.

15.

Hook

Norlen

Guzman

: Saccular aneurysms of the vertebral-basilar arteryal system. A report of 28 cases. Acta Neurol Scand 39: 271–304, 1963.

16.

Hori

Hirakawa

: Aneurysm in the internal auditor meatus. J Neurosurg 35: 605–609, 1971.

17.

Kaech

de Tribolet

LasJaunias

: AICA aneurysms, carotid bifurcation aneurysm and dural arteriovenous malformation of the tentorium in the same patient. Neurosurgery 21: 575–582, 1987.

18.

Jamineson

: Aneurysms of the vertebrobasilar system. J Neurosurg 21: 781–797, 1964.

19.

Jane

: A large aneurysm of the PICA in a 1 year old child. J Neurosurg 118: 245–247, 1961.

20.

Johnson

Kline

: Anterior inferior cerebellar artery aneurysms. J Neurosurg 48: 455–460, 1978.

21.

Kline

: Anterior inferior cerebellar artery aneurysm. J Neurosurg 60: 1115–1106, 1984.

22.

Kuman

Naidich

: The choroidal artery to the fourth ventricle and its radiological significance. Radiology 126: 431–439, 1978.

23.

Laine

: Arterial vertebro-basilar aneurysms. Prog Brain Res 30: 323–346, 1968.

24.

Margolis

Newton

: The posterior inferior cerebellar artery. In: Newton

Potts

: Radiology of the skull and brain, Angiography. Vol II, Book 2. Mosby, St Louis 1974: 1710–1772.

25.

Mizoi

Suzuki

Yoshimoto

: Results of the surgical treatement of multiple aneurysms-rewiew of 372 cases NO-Schinkei-Geka. Neurosurgery 23: 190–200, 1988.

26.

Mizoi

Suzuki

Joshimoto

: Surgical treatement of multiple aneurysms. Review of experience with 372 cases. Acta Neurochir (Wien) 96: 8–14, 1989.

27.

Nakagawa

: Aneurysm of the AICA at the internal auditory meatus. Surg Neurol 21: 231–235, 1984.

28.

Nijenshon

Rubens

: Clinical significance of basilar artery aneurysms. Neurology 24: 301–305, 1974.

29.

Pessin

Chimowitz

: Stroke in patients with fusiform vertebrobasilar aneurysms. Neurology 39: 16–21, 1989.

30.

Pia

Langmaid

Zierski

: Cerebral aneurysms. Advances in diagnosis and therapy. Springer-Verlag, Heidelberg 1979.

31.

Rand

Jannetta

: Micro-neurosurgery for aneurysm of the vertebral basilar artery system. J Neurosurg 27: 330–335, 1967.

32.

Santucci

: Aneurysm of the AICA 18th case in the literature. Riv Neurol 55: 30–37, 1985.

33.

Solomon

Stein

: Surgical approaches to aneurysms of the vertebral and basilar arteries. Neurosurgery 23: 203–208, 1988.

34.

Sugita

Kobayaski

: Aneurysms of the basilar artery trunk. J Neurosurg 66: 500–505, 1987.

35.

Thierry

Ballivet

: Les anéurysmes sacciformes de l'artère cérébelleuse moyenne (artère cérébellese antérieure et inférieure). Présentation d'un cas opéré avec succès et revue de la litérature. Neurochirurgie 17: 137–142, 1971.

36.

Yasargil

: Microneurosurgery. Georg Thieme Verlag, Stuttgart, Vol II: 270–279, 1984.