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Journal of Korean Neurosurgical Society 1978;7(1): 91-98.
Surgical Intervention for Cases of Ruptured Intracranial Aneurysms Accompanying Large Intracranial Hematomas.
Sung Hak Kim, Jeong Wha Chu, Ki Chan Lee, Hoon Kap Lee
Department of Neurosurgery, College of Medicine, Korea University, Seoul, Korea.
An intracranial aneurysm usually bleeds into the subarachnoid space. In addition, it may also rupture into the subdural space or into the brain, or both. The management mortality rate for ruptured intracranial aneurysm increases in the cases accompanying large intracranial hematoma. Several previous reports have considered the timing of operation for ruptured intracranial aneurysms accompanying large intracranial hematomas in relation to postoperative results. Generally, all patients with large intracranial hematoma should have the hematoma removed promptly even though definitive surgery for the aneurysm is to be delayed. But determination of the optimal time for surgical intervention of ruptured intracranial aneurysm accompanying large intracranial hematoma depends entirely on neurosurgeon's experience and decision. Our three cases of ruptured intracranial aneurysms accompanying large intracranial hematomas are reported and discussed for timing of surgical interventions.
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