Effect of classical exclusion of aneurysm of the internal carotid artery on late structural and functional changes at the site of the operation

: The effect of the classical exclusion of internal carotid aneurysm with access by frontotemporal craniotomy on late therapeutic result and on the development of ischaemic changes in the area of access was analysed. It was shown that with this method of surgical treatment the ischaemic lesion developed most frequently in the temporal lobe pole, and may lead to persistent impairment of mental ability and symptoms of characteropathy later on. It was demonstrated that the occlusion of bridging veins reaching the sphenoparietal sinus and ligation of the neck of the aneurysm increased the risk of ischaemic lesions development at the site of spatula pressure during the operation.