Results of early and delayed operations for ruptured intracranial aneurysms in two series of 100 consecutive patients

摘要: This report compares the results of early and delayed operations for ruptured intracranial aneurysms in two groups 100 consecutive patients managed at Downstate Medical Center, Brooklyn, N.Y. In first group, operation was postponed a minimum 1 week after subarachnoid hemorrhage, aneurysmal clipping carried out only on classified as grade I or Ia whom pressure normal, serial angiograms demonstrated absence resolution vasospasm. According to this policy, 35 came with no operative deaths (0%) four permanent neurological deficits (11%). Sixty-five died prior from variety causes including rebleeding, cerebral vasospasm, systemic complications. Of 81 admitted grades I-III, survival rate 43% (35/81). second soon possible admission all who were III below without specific regard angiographic occasional IV V intracerebral clots. With strategy, 86 I-III surgery. There 4 (4.9%), 10 (12%), 90% (77/86). Including three six successfully operated upon clots, overall group (80%) more than twice that (35%). Taken together, these data suggest that, whereas surgical intervention invites higher mortality, patient by far most important statistic, can be significantly reduced increasing long-term morbidity.