Treatment of recurrented intracranial aneurysms

【Objective】 To investigate the factor of recurrence and strategy of treatment for recurrence intracranial aneurysm.【Methods】 The clinical data of 8 patients with recurrence intracranial aneurysm were analyzed retrospectively.【Results】 Of the 8 patients there were 3 case of anterior communicating aneurysms;2 middle cerebral artery bifurcation aneurysms;1 posterior communicating aneurysms;1 ophthalmic artery aneurysms and 1 posterior cerebral artery aneurysm.Five patients underwent surgical clipping and three patients underwent endovascular embolization as the initial treatment.Surgical clipping was performed in 6 patients with recurrent and residual aneurysms,2 patients were treated with the endovascular embolization as the retreatment.The clinical follow-up ranged from 1 to 45 months.Of 8 patients 6 were recovered according to glasgow outcome scale,1 moderately disabled,1 gave up treatment 2 days after operation.The aneurysms disappeared in 4 patients who performed postoperative DSA examination.【Conclusion】 The defect of initial treatment was the main factor of recurrence of intracranial aneurysm;the treatment of recurrence intracranial aneurysm should according to the character of the patients.