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KMID : 0359819930220121324
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Journal of Korean Neurosurgical Society
1993 Volume.22 No. 12 p.1324 ~ p.1334
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The Central Infarctions after Surgery for Anterior Circulation Aneurysm
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서성우
김한규/문재곤/황용순/이화동
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Abstract
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Among the series of 272 cases of surgically treated anterior circulation aneurysms, we experienced 6 cases of central infarctions involving caudate nucleus, globus pallidus, putamen and genu of internal capsule respectively or in combination.
These
surgery related complications were caused by the injury to the perforators going to the anterior perforated substance during manipulation of the large aneurysm or the aneurysms ruptured prematurely. The clinical courses of these patients however,
were
not so severe. The morbidities were minimal or none after the average follow-up periods of 17 months. Thorough knowledge of the anatomy of the perforators may help to minimize the severe morbidity in the management of large or difficult
aneurysms.
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KEYWORD
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