Of eight-hundreds and nine patients with intracranial aneurysms who underwent operation at Inje University Pusan Paik Hospital between Jan. 1982 and Dec. 1992, twenty-six had aneurysms of distal anterior cerebral artery (DACA).
Of these twenty-six patients, twenty-one had only ruptured DACA aneruysm. But, five had multiple aneurysms, and DACA aneurysms were responsible for subarachnoid hemorrhage n three. There were two incidental DACA aneurysms associated with ruptured
aneurysms at other locations.
All patient underwent direct surgery under the surgical microscope, if possibly within 48hrs after the last subarachnoid hemorrhage. This paper deals with clinical features, surgical techniques and problems in direct approach, and the results in
our
cases.
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