Schreiber D, Jänisch W, Peschel R
Zentralbl Allg Pathol. 1977;121(1-2):11-21.
Among 67,930 autopsies 233 (0.3%) ruptured unoperated intracranial aneurysms were found. 105 aneurysms belonged to the anterior, 89 to the middle, and 29 to the posterior groups. The size, age and sex distribution of the aneurysms as well as the lesions due to their rupture were studied. The following complications were found (table 4): Massive subarachnoid haemorrhages (77%), intracerebral haematomas (61%), massive intraventricular haemorrhages (35%). Intracranial aneurysms were combined with polycystic degeneration of the kidneys in 8 patients. The pathomorphological findings were compared with the clinical diagnoses. The clinical diagnosis of a ruptured intracranial aneurysm was established in 13.9% of the patients only.
在67930例尸检中，发现233例（0.3%）未手术的颅内动脉瘤破裂。105例动脉瘤属于前循环组，89例属于中循环组，29例属于后循环组。对动脉瘤的大小、年龄和性别分布以及破裂所致病变进行了研究。发现了以下并发症（表4）：大量蛛网膜下腔出血（77%）、脑内血肿（61%）、大量脑室内出血（35%）。8例患者的颅内动脉瘤合并肾多囊性退变。将病理形态学结果与临床诊断进行了比较。仅13.9%的患者确诊为颅内动脉瘤破裂。
