Some observations on the microneurosurgical treatment of intracranial aneurysms

This paper reports a retrospective study of the microneurosurgical management of intracranial aneurysm in 133 patients. Good or fair results were obtained in 76%, 12% of patients had a poor result and the mortality was 12%. Major factors which were found to influence the outcome of surgery were: pre...

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Bibliographic Details
Published inActa neurochirurgica Vol. 35; no. 1-3; p. 97
Main Authors Loach, A B, Azevedo Filho, H R
Format Journal Article
LanguageEnglish
Published Austria 01.01.1976
Subjects
Adult
Age Factors
Humans
Hypertension - complications
Intracranial Aneurysm - complications
Intracranial Aneurysm - mortality
Intracranial Aneurysm - surgery
Ischemic Attack, Transient - etiology
Microsurgery
Middle Aged
Postoperative Complications
Retrospective Studies
Time Factors
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Summary:This paper reports a retrospective study of the microneurosurgical management of intracranial aneurysm in 133 patients. Good or fair results were obtained in 76%, 12% of patients had a poor result and the mortality was 12%. Major factors which were found to influence the outcome of surgery were: pre-operatively, the Botterell grade of the patient, pre-existing systemic hypertension and the time interval between the last subarachnoid haemorrhage and surgery. Post-operatively, the development of cerebral vasospasm was associated with a poor outcome from surgery. Better results might be obtained from the surgery of intracranial aneurysm by delaying operation to the second week after subarachnoid haemorrhage and by better management of hypertensive patients pre-operatively and patients who develop cerebral vasospasm post-operatively.
ISSN:0001-6268
DOI:10.1007/BF01405938