Abstract
Good operative results on aneurysms one to three weeks after subarachnoid hemorrhage with a mortality of under 5% (PIA 1969) have to be paid for with high mortality rates due to recurrent bleeding and vasospasm during the waiting period. Mortality with this type of management (ADAMS 1981, HUNT 1980, WEIR 1981) can be as high as 42% (KASSELL 1981). Results with early operations within two to three days published up to now are more favorable, although the operative mortality is about 10% (HUGENHOLTZ 1982, HORI and SUZUKI 1979, HUNT 1980, KASSELL 1981, KOBAYASHI 1979, LJUNGGREN 1981, SANO 1978, TAKAHASHI 1979, WEIR 1981). This is explained by earlier suppression of the risk of rebleeding as well as reduction of complications related to vasospasm, due to removal of clots from the subarachnoid space.
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References
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© 1983 Springer-Verlag Berlin Heidelberg
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Gilsbach, J., Eggert, H.R. (1983). Early Operations on Ruptured Aneurysms. In: Jensen, HP., Brock, M., Klinger, M. (eds) Acute Non-Traumatic Intracranial Bleedings. Posterior Fossa Tumors in Infancy. Advances in Neurosurgery, vol 11. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-05589-2_11
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DOI: https://doi.org/10.1007/978-3-662-05589-2_11
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