Surgical Results of Unruptured Intracranial Aneurysms in the Elderly: Single Center Experience in the Past Ten Years

Jung, Young-Jin; Ahn, Jae-Sung; Park, Eun-Suk; Kwon, Do-Hoon; Kwun, Byung-Duk; Kim, Chang-Jin

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자료유형: 학술저널

저자정보: Jung, Young-Jin (Department of Neurological Surgery, University of Ulsan College of Medicine, Asan Medical Center) Ahn, Jae-Sung (Department of Neurological Surgery, University of Ulsan College of Medicine, Asan Medical Center) Park, Eun-Suk (Department of Neurological Surgery, University of Ulsan College of Medicine, Asan Medical Center) Kwon, Do-Hoon (Department of Neurological Surgery, University of Ulsan College of Medicine, Asan Medical Center) Kwun, Byung-Duk (Department of Neurological Surgery, University of Ulsan College of Medicine, Asan Medical Center) Kim, Chang-Jin (Department of Neurological Surgery, University of Ulsan College of Medicine, Asan Medical Center)

저널정보: 대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제49권 제6호

발행연도: 2011.1

수록면: 329 - 333 (5page)

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Objective : As medical advances have increased life expectancy, it has become imperative to develop specific treatment strategies for intracranial aneurysms in the elderly. We therefore analyzed the clinical characteristics and outcomes of the treatment of unruptured intracranial aneurysms in patients older than 70 years. Methods : We retrospectively reviewed the medical records and results of neuroimaging modalities on 54 aneurysms of 48 consecutive patients with un ruptured intracranial aneurysms. ($mean{\pm}SD$ age, $72.11{\pm}1.96$ years; range, 70-78 years) who underwent surgical clipping over 10 years (May 1999 to June 2010). Results : Of the 54 aneurysms, 22 were located in the internal carotid artery, 19 in the middle cerebral artery, 12 in the anterior cerebral artery, and 1 in the superior cerebellar artery. Six patients had multiple aneurysms. Aneurysm size ranged from 3 mm to 17 mm ($mean{\pm}SD$, $6.82{\pm}3.07$ mm). Fifty of the 54 aneurysms (92.6%) were completely clipped. Three-month outcomes were excellent in 50 (92.6%) aneurysms and good and poor in 2 each (3.7%), with 1 death (2.0%). Procedure-related complications occurred in 7 aneurysms (13.0%), with 2 (3.7%) resulting in permanent neurological deficits, including death. No postoperative subarachnoid hemorrhage occurred during follow-up. The cumulative rates of stroke- or death-free survival at 5 and 10 years were 100% and 78%, respectively. Conclusion : Surgical clipping of unruptured intracranial aneurysms in elderly group could get it as a favorable outcome in well selected cases.

#Unruptured intracranial aneurysm #Surgical clipping #Elderly #Outcome

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이 논문의 저자 정보

Jung, Young-Jin

소속기관 Department of Neurosurgery, Yeungnam University Medical Center, Yeungnam University School of Medici

주요연구분야 의약학 > 임상의학 > 신경외과학

논문수 15 이용수 2

Ahn, Jae-Sung