Timing of Aneurysms of Cerebral Vessels — Documentation of 200 Patients in a Retrospective Study
In recent years, various authors were able to show convincingly the influence of favorable time of operation on the treatment results in aneurysms (3, 4, 6, 9, 11, 121) This is essentially determined by recurrent hemorrhage and vasospasm. The first recurrent hemorrhage mostly occurs on the third to 11th day, with a peak on the seventh day (7). The period of predilection for vasospasm is between the fifth and 13th day after a subarachnoid hemorrhage (SAH) (4, 11, 12). The time factor thus plays an important role in the treatment of aneurysms. We analyzed our patient material with regard to the time factor.
Unable to display preview. Download preview PDF.
- 6.Iufuso, L., Bettinelli, A., De Benedittis, G., Ettore, G.: Evaluation of indications for direct surgical management in SAH due to ruptured intracranial aneurysms. Immediate and long term results in a cooperative study of 678 cases. J. Neurosurg. Sci. 19, 47–53 (1975)Google Scholar
- 7.Locksley, H. B.: Natural history of subarachnoid haemorrhage, intracranial aneurysms and arteriovenous malformations, Part II. In: Intracranial aneurysms and subarachnoid hemorrhage: A cooperative study. Sahs, A. L., Perret, G. E., Locksley, H. B., Nishioka, H. (eds.), pp. 58–108, Philadelphia: Lippincott Co. 1969Google Scholar
- 12.Suzuki, J., Yoshimoto, T.: Indication and timing in the surgery of ruptured cerebral aneurysms. In: Cerebral aneurysms. Suzuki, J. (ed.), pp. 211–223, Tokio: Neuron Publishing Co. 1979Google Scholar