Abstract
Timing of aneurysm surgery in patients in grade III (according to Hunt and Hess) is still being discussed controversially, even reviewing last year’s literature. The main argument for early surgery [1, 2, 5, 7, 10] is recurrent hemorrhage. Its frequency is reported ranging from 9% to 22% during the first 2 weeks. Opponents of early surgery [4, 8, 9] list difficult intraoperative conditions, which include brain edema and the risk of vasospasm. Other authors do not see any essential difference between the results of early or delayed surgery [3, 6, 11]. They decide upon timing according to circumstances [12].
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Adams HP Jr, Kassell NF, Tomer JC et al. (1981) Early management of aneurysmal subarachnoid hemorrhage. A report of the cooperative aneurysma study. J Neurosurg 54:141–145
Gilsbach JM, Reulen HJ, Ljunggren B, Brandt L, v Hoist H, Mokrey M, v Essen C, Conzen M (1990) Early aneurysm surgery and preventive therapy with intravenously administered nimodipine: a multicenter, double-blind, dose-comparison study. Neurosurgery 26:458–464
Kassel NF, Tomer JC, Jane JA, Haley EC Jr, Adams HP et al. (1990) The international cooperative study on the timing of aneurysm surgery. J Neurosurg 73:37–47
Ljunggren B, Sàveland H, Brandt L (1983) Causes of unfavorable outcome after early aneurysm operation. Neurosurgery 13:629–633
Öhman J, Heiskanen O (1989) Timing of operation for ruptured supratentorial aneurysms: a prospective randomized study. J Neurosurg 70:55–60
Samson DS, Hodosh RM, Reid WR et al. (1979) Risk of intracranial aneurysm surgery in the good grade patient: early versus late operation. Neurosurgery 5:422–426
Sano K, Saito I (1978) Timing and indication of surgery for ruptured intracranial aneurysms with regard to cerebral vasospasm. Acta Neurochir 41:49–60
Sundt TM (1977) Cerebral vasospasm following subarachnoidal hemorrhage: evolution, management, and relationship to timing of surgery. Clin Neurosurg 56:228–239
Sundt TM, Kobayashi S, Fode NC, Whisnant JP (1982) Results and complications of surgical management of 809 intracranial aneurysms in 722 cases. J Neurosurg 56:753–765
Suzuki J, Onuma T, Yoshimoto T (1979) Results of early operations on cerebral aneurysms. Surg Neurol 11:407–412
Weir B, Aronyk K (1981) Management mortality and the timing of surgery for supratentorial aneurysms. J Neurosurg 54:146–150
Yasargil MG (1984) Microneurosurgery II. Thieme, Stuttgart, pp 10–11
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1992 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Lukow, K., Köning, W., Menzel, J. (1992). Early Versus Delayed Aneurysm Surgery in Subarachnoid Hemorrhage in Clinical Grade Hunt-Hess III. In: Piscol, K., Klinger, M., Brock, M. (eds) Neurosurgical Standards Cerebral Aneurysms Malignant Gliomas. Advances in Neurosurgery, vol 20. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-77109-5_17
Download citation
DOI: https://doi.org/10.1007/978-3-642-77109-5_17
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-54838-6
Online ISBN: 978-3-642-77109-5
eBook Packages: Springer Book Archive