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Results of Ultra-Early Surgery on Intracranial Aneurysms by the Sendai Group of Neurosurgeons

  • Yoshiharu Sakurai
  • Takehide Onuma
  • Jiro Suzuki
Conference paper

Abstract

Since the early 1970s, we have been advocating ultra-early surgery for ruptured cerebral aneurysms, and have reported on its therapeutic effectiveness [8, 11]. In 1985, however, Nishimoto, et al. reported [4] that the surgical results in ruptured cerebral aneurysm cases from various neurosurgical clinics in Japan were quite poor when the operation was performed within 48 h of onset. Even for relatively mild grades I and II cases, the mortality was said to be 26.6%, and it was notably poor for more severe cases: 35.6% in grade III, 55.2% in grade IV, and 79.1% in grade V cases. We are consequently concerned that such results using early stage surgery can only have caused a complete loss of confidence in this procedure in the West.

Keywords

Subarachnoid Space Intracranial Aneurysm Cerebral Spinal Fluid Cerebral Aneurysm Cerebral Vasospasm 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Springer Japan 1988

Authors and Affiliations

  • Yoshiharu Sakurai
    • 1
  • Takehide Onuma
    • 2
  • Jiro Suzuki
    • 3
  1. 1.Division of NeurosurgerySendai National HospitalSendaiJapan
  2. 2.Sendai City HospitalSendaiJapan
  3. 3.Institute of Brain DiseaseTohoku University School of MedicineSendaiJapan

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