Journal of Korean Neurosurgical Society

  • 제40권3호
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  • Pages.159-163
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  • 2006
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
권호 표지

"Misery Collaterals" as Poor Angiographic Findings - Definition, Classification, and Practical Application -

  • Kim, Young-Joon (Department of Neurosurgery, Dankook University College of Medicine)
  • 발행 : 2006.09.30
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초록

Objective : Unique Internal carotid artery angiographic findings have been found especially in very poor grade aneurysmal subarachnoid hemorrhage[SAH] patients before and during the endovascular coiling. The author investigates their patterns and classifies them into lour subtypes. Methods : Among Hunt&Hess grade IV, V SAH patients, the author could gather eight patients who showed abnormal intracranial circulation in cerebral catheter-based angiography. Results : The author introduces new term 'misery collaterals' first and has classified them into four types with the case illustrations. Type 1 is the worst condition defined as almost no intracranial circulation. Type 2 is the condition of little intracranial circulation with contrast filling just only at vessels of brain base, type 3 is of no or little cortical circulation with contrast filling at bilateral large vessels of brain base through circle of Willis channel and type 4 is of visible bilateral cortical circulation but delayed intracranial circulation time. The prognosis of these eight patients showed misery collaterals were disappointed. Conclusion : These finding can be used as the supportive information in deciding a management plan in poor grade SAH patients.

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참고문헌

  1. Alpers BJ, Bery RG, Paddison RM : Anatomical studies of the circle of Willis in normal brain. Arch Neurol Psychiatry 81 : 409-418, 1959 https://doi.org/10.1001/archneurpsyc.1959.02340160007002
  2. Bracard S, Lebdinsky A, Anxionnat R, Neto JM, Audibert G, Long Y, et al : Endovascular treatment of Hunt and Hess grade IV and V aneurysms. Am J Neuroradiol 23 : 953-957, 2002
  3. Bradac GB, Simon RS : Angiography in brain death. Neuroradiology 7 : 25-28, 1974 https://doi.org/10.1007/BF00344671
  4. Cho CS, Kim YJ : Comparative study of treatment results between surgical neck clipping and endovascular coiling on the ruptured middle cerebral artery aneurysms. J Korean Neurosurg Soc 35 : 178-182, 2004
  5. Cloft HJ, Joseph GJ, Dion JE : Risk of cerebral angiography in patients with subarachnoid hemorrhage, cerebral aneurysm, and arteriovenous malformation : a meta-analysis. Stroke 30 : 317-320, 1999 https://doi.org/10.1161/01.STR.30.2.317
  6. Coyle P, Heistad DD : Development of collaterals in the cerebral circulation. Blood Vessels 28 : 183-189, 1991
  7. Grote E, Hassler W : The critical first minutes after subarachnoid hemorrhage. Neurosurgery 22 : 654-661, 1988 https://doi.org/10.1227/00006123-198804000-00006
  8. Hoksbergen AW, Fulesdi B, Legemate DA, Csiba L : Collateral configuration of the circle of Willis : transcranial color coded duplex ultrasonography and comparison with postmortem anatomy. Stroke 31 : 1346- 1351, 2000 https://doi.org/10.1161/01.STR.31.6.1346
  9. Hoksbergen AW, Majoie CB, Hulsmans FJ, Legemate DA : Assessment of the collateral circulation of the circle of Willis : three dimensional timeof- flight MR angiography compared with transcranial color coded duplex sonography. Am J Neuroradiol 24 : 456-462, 2003
  10. Jankowitz B, Levy EI, Hopkins LN, Guterman LR : Indications for catheter based angiography of the cerebrovasculature. Neurosurg Clin N Am 16 : 241-248, 2005 https://doi.org/10.1016/j.nec.2004.08.002
  11. Johnston DC, Chapman KM, Goldstein LB : Low rate of complications of cerebral angiography in routine clinical practice. Neurology 57 : 2012- 2014, 2001 https://doi.org/10.1212/WNL.57.11.2012
  12. Kremer C, Groden C, Hansen HC, Grzyska U, Zeumer H : Outcome after endovascular treatment of Hunt and Hess grade IV or V aneurysms : comparison of anterior versus posterior circulation. Stroke 30 : 2617- 2622, 1999 https://doi.org/10.1161/01.STR.30.12.2617
  13. Liebeskind DS : Collateral circulation. Stroke 34 : 2279-2284, 2003
  14. Ross J, O'Sullivan MG, Grant IS, Sellar R, Whittle IR : Impact of early endovascular aneurysmal occlusion on outcome of patients in poor grade after subarachnoid hemorrhage : a prospective, consecutive study. J Clin Neurosci 9 : 648-652, 2002 https://doi.org/10.1054/jocn.2002.1100
  15. Vanninen R, Koivisto T, Saari T, Hernesniemi J, Vapalahti M : Ruptured intracranial aneurysms : Acute endovascular treatment with electrolytically detachable coils-a prospective randomized study. Radiology 211 : 325-336, 1999 https://doi.org/10.1148/radiology.211.2.r99ap06325
  16. Weir RU, Marcellus ML, Do HM, Steinberg GK, Marks MP : Aneurysmal subarachnoid hemorrhage in patients with Hunt and Hess grade 4 or 5 : treatment using the Guglielmi detachable coil system. Am J Neuroradiol 24 : 585-590, 2003
  17. Yoshimoto Y, Tanaka Y, Sanada T : Angiographic assessment of cerebral circulation time for outcome prediction in patients with subarachnoid hemorrhage. Surg Neurol 62 : 115-120, 2004 https://doi.org/10.1016/j.surneu.2003.08.035