Operative treatment of ruptured intracerebral aneurysms accompanied with hematomas
10.3760/cma.j.issn.1671-8925.2014.04.019
- VernacularTitle:颅内动脉瘤破裂合并脑内血肿的诊治体会
- Author:
Wuzhong ZHANG
1
;
Wenhai CHANG
;
Junjie ZHANG
;
Shunli DU
;
Jianjun YIN
;
Bingjian FU
;
Yangang WANG
Author Information
1. 454002,焦作市人民医院神经外科一区
- Keywords:
Intracerebral aneurysm;
Intracerebral hematoma;
Microsurgery;
CTA
- From:
Chinese Journal of Neuromedicine
2014;13(4):405-406
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the diagnosis and emergency surgical treatment of ruptured intracerebral aneurysms (RIAs) accompanied with intracerebral hematomas (ICH).Methods A retrospective study was performed on the clinical data of 23 patients ofICH following RIAs,admitted to our hospital from May 2009 to September 2013.CTA was performed in 17 patients and cranial CT in 6 before the operation.The emergent operations were performed in all the patients within 24 hours of aneurysm rupture; pterion approach was adopted to clip the arterial aneurysm and clear intracerebral hematoma.Results According to Glasgow outcome scale (GOS) scores,4 recovered well,6 were mildly disabled,8 were severely disabled and 5 died.After follow-up for 3.3 years in 15 patients,no further bleeding occurred.Eight aneurysms were re-checked by CTA,7 aneurysms were completely clipped and 1 aneurysm had residual neck.Conclusions Preoperative CTA is essential for the correct diagnosis of ICHs due to RIA.The curative effect of the emergent operation can improve the survival rate and prognosis of patients with RIA accompanied with ICH.
