| Peracute surgery of aneurysms with intracerebral hematomas. | |
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MedLine Citation:
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PMID: 8483508 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Out of a series of 252 patients who underwent aneurysm surgery, 19 (7.5%) were operated on in a "peracute stage" in the poor grades Hunt & Hess IV (n = 11), IV-V (n = 2), and V (n = 6). All patients suffered from large aneurysmal intracerebral hematomas which were evacuated after decompressive craniotomies, all aneurysms (ACA: n = 1, ACoA: n = 4, MCA: n = 12, ICA: n = 2) could be clipped. 4 patients died within the first 3 postoperative days, 6 patients reached a poor result remaining in an apallic syndrome or a state of high invalidity, 8 obtained a fair result with personal autonomity, and 1 patient recovered completely. Although this kind of aneurysm bleeding is combined with high mortality and morbidity, we nevertheless emphasize its surgical treatment as soon as possible because of the lack of other efficient therapeutical procedures. |
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Authors:
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L Russegger; K Twerdy |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Neurochirurgia Volume: 36 ISSN: 0028-3819 ISO Abbreviation: Neurochirurgia (Stuttg) Publication Date: 1993 Mar |
Date Detail:
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Created Date: 1993-06-01 Completed Date: 1993-06-01 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0400774 Medline TA: Neurochirurgia (Stuttg) Country: GERMANY |
Other Details:
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Languages: eng Pagination: 37-43 Citation Subset: IM |
Affiliation:
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Clinic for Neurosurgery, Frankfurt/Oder, Germany. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aneurysm, Ruptured / mortality, surgery* Cerebral Angiography Female Follow-Up Studies Hematoma / mortality, surgery* Hematoma, Subdural / mortality, surgery Humans Intracranial Aneurysm / mortality, surgery* Male Middle Aged Postoperative Complications / mortality Survival Rate Tomography, X-Ray Computed |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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