| Home | E-Submission | Sitemap | Editorial Office |  
top_img
Journal of Korean Neurosurgical Society 1996;25(10): 2033-2037.
Emergent Aneurysm Surgery without Cerebral Angiography for the Comatose Patients with ICH or SDH.
Soo Hyun Hwang, Yong Gyu Park, Sun Ha Baek, In Sung Park, Eun Sang Kim, Jin Myung Jung, Jong Woo Han
Department of Neurosurgery, College of Medicine, Gyeongsang National University, Jinju, Korea.
ABSTRACT
Neurologically based clinical grading scales offer excellent prognostic information for the patient suffering diffuse subarachnoid hemorrhaging. These grading scales are less applicable to patients with life-threatening intraparenchymal or subdural hematomas after aneurysmal rupture. During 2 and half years, 9 patients(ICH;5,SDH;1, ICH+SDH;3) in a comatose state with brain stem compression syndromes documented by computerized tomographic scans have undergone emergent operation without angiography in our neurosurgical department. Each patient was so critically ill that we believed it unwise to delay craniotomy for diagnostic angiography. The average delay from the detection to operation was 2 hours. The origin of the hematoma was identified as a berry aneurysm of the middle cereral artery bifurcation in seven patients and a posterior communicating artery aneurysm in two patients. One patient had a good recovery, two patients reovered with hemiparesis and mild cognitive dysfunction, two patients were vegetative and died due to pneumonia, and four patients died due to brain swelling within two weeks postoperatively. Emergent craniotomy with empiric exploration of appropriate subarachnoid cisterns after hematoma decompression may be life-saving management in some cases. The delay imposedfor diagnostic angiography may be avoided in attempts to save vital minutes of severe brain stem compression.
Key Words: Emergent aneurysm surgery; Subarachnoid hemorrhage; Subdural hematoma; Intracerebral hematoma
TOOLS
Full text via DOI  Full text via DOI
Download Citation  Download Citation
Share:      
METRICS
1,153
View
15
Download
Related articles
Large Aneurysm of Azygos Anterior Cerebral Artery: Case Report.  1990 January;19(1)
Surgery of Cerebral Aneurysms in Comatose Patients.  1994 October;23(10)
Aneurysmal Rerupture During Cerebral Angiography: Report of Two Cases.  1994 November;23(11)
Early Aneurysm Surgery using Eyebrow Incision for Poor Grade Patients.  2006 February;39(2)
Editorial Office
1F, 18, Heolleung-ro 569-gil, Gangnam-gu, Seoul, Republic of Korea
TEL: +82-2-525-7552   FAX: +82-2-525-7554   E-mail: kns61@neurosurgery.or.kr
About |  Browse Articles |  Current Issue |  For Authors and Reviewers
Copyright © Korean Neurosurgical Society.                 Developed in M2PI
Close layer