| Management of a comatose patient with multiple intracranial aneurysms--lessons learned. | |
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MedLine Citation:
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PMID: 20088168 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The perioperative management of a deeply comatose patient (Glasgow Coma Score, GCS 5) following a spontaneous subarachnoid hemorrhage is presented. Six intracranial aneurysms of the anterior circulation were discovered at operation, contrary to angiographic findings. These were successfully clipped by the author (KD). Postoperatively, the patient's cerebral energy metabolism was monitored by bedside cerebral microdialysis in real time. The ICP (volume)-targeted therapy (Lund concept) was utilised in accordance with findings of intrinsic brain biochemistry. Three-month follow-up showed excellent outcome (Glasgow Outcome Score, GOS 5). |
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Authors:
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Kemal Dizdarevic; Vino Apok; Ibrahim Omerhodzic; Tarik Masic |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Medicinski arhiv Volume: 63 ISSN: 0350-199X ISO Abbreviation: Med Arh Publication Date: 2009 |
Date Detail:
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Created Date: 2010-01-21 Completed Date: 2010-03-11 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0400722 Medline TA: Med Arh Country: Bosnia and Hercegovina |
Other Details:
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Languages: eng Pagination: 174-6 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, Clinical Center University of Sarajevo, Bosnia and Herzegovina. kemaldiz@bih.net.ba |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aneurysm, Ruptured / complications, surgery Coma / complications* Humans Intracranial Aneurysm / complications, surgery* Male Subarachnoid Hemorrhage / complications |
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