TY - JOUR AU - Balik, Vladimir; Yamada, Yasuhiro; Talari, Sandeep; Kei, Yamashiro; Sano, Hirotoshi; Sulla, Igor; Suyama, Daisuke; Kawase, Tukasa; Takagi, Kiyoshi; Takizawa, Katsumi; Kato, Yoko TI - State-of-Art Surgical Treatment of Dissecting Anterior Circulation Intracranial Aneurysms SN - 2193-6315 SN - 2193-6323 PY - 2017 JO - J Neurol Surg A Cent Eur Neurosurg JF - Journal of Neurological Surgery Part A: Central European Neurosurgery LA - EN VL - 78 IS - 01 SP - 67 EP - 77 ET - 2016/09/05 DA - 2017/01/04 KW - intracranial dissecting aneurysm KW - anterior circulation KW - surgical treatment AB - Intracranial dissecting aneurysms (IDAs) are an important cause of subarachnoid hemorrhage, stroke, or compression of intracranial structures. Since the availability of endovascular treatment and the advantage of intraprocedural anticoagulation, an endovascular strategy has become the mainstay of their therapy. But in some cases selective aneurysm obliteration by the endovascular approach is impossible or associated with an unacceptable risk of morbidity. This is particularly true when the IDA is a blood blister-like aneurysm or when dissection affects peripheral branches of the internal carotid artery. The literature dealing with surgical treatment of IDAs in the anterior circulation is heterogeneous, and formulation of general recommendations concerning the surgical strategy remains difficult. The aim of this study was to conduct a systematic review of the current knowledge on incidence, pathogenesis, clinical presentation, and diagnostic procedures with a special emphasis on the surgical treatment of intracranial dissections of anterior circulation. PB - Georg Thieme Verlag KG DO - 10.1055/s-0036-1588064 UR - http://www.thieme-connect.de/products/ejournals/abstract/10.1055/s-0036-1588064 ER -