Zubkov Iu N, Matsko D E
Zh Nevropatol Psikhiatr Im S S Korsakova. 1980;80(12):1809-13.
On the basis of examining 72 patients 14 of whom later died it has been concluded that the most substantial differences of large and giant aneurysms of cerebral arteries from small ones consist in development of focal neurological symptoms and intracranial hypertension: this is due to both compression of the brain structures and disturbance of the cerebral circulation caused by aneurysms more than 2 cm long. The intracranial hypertension is the most frequent in aneurysms over 3 cm long, especially, if those aneurysms are localized in the vicinity of cerebral liquor ducts. Patients with arterial aneurysms exceeding 2 cm develop hemorrhagic complications in 2/3 of the cases. While using modern treatment methods (stereotaxic and intravascular) one should take into account the peculiarities of the structure of large and giant aneurysms in the brain.
在对72例患者进行检查后（其中14例后来死亡），得出结论：大脑动脉的大型和巨型动脉瘤与小型动脉瘤最显著的差异在于局灶性神经症状和颅内高压的发展，这是由于长度超过2厘米的动脉瘤对脑结构的压迫以及脑循环的紊乱所致。颅内高压在长度超过3厘米的动脉瘤中最为常见，尤其是当这些动脉瘤位于脑液管附近时。动脉动脉瘤超过2厘米的患者，三分之二会出现出血性并发症。在使用现代治疗方法（立体定向和血管内治疗）时，应考虑大脑中大型和巨型动脉瘤的结构特点。
