Study on Timing of Surgery for Ruptured Intracranial Aneurysms.
- Author:
Kwang Soo LEE
1
;
Seung Kon HUH
;
Kyu Chang LEE
;
Nam JUNG
;
Kyung Woo PARK
;
Kyung Gi CHO
Author Information
1. Department of Neurosurgery, Presbyterian Medical Center, Chonju, Korea.
- Publication Type:Original Article
- Keywords:
Ruptured aneurysm;
Subarachnoid hemorrhage;
Timing of surgery;
Total management outcome;
Rebleeding;
Delayed ischemic deficit
- MeSH:
Aneurysm, Ruptured;
Humans;
Incidence;
Intracranial Aneurysm*;
Retrospective Studies;
Subarachnoid Hemorrhage
- From:Journal of Korean Neurosurgical Society
1990;19(1):38-44
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The optimum timing of surgery for ruptured intracranial aneurysms still remains controversial. In order to compare the total management outcome between early and late surgery a retrospective analysis was carried out. Of 159 patients, 97 patients were selected according to the entry criteria and were divided into two groups ; group I(46pts.) was early surgery planned patients and group II(51 pts.) was late surgery planned patients. The results obtained are as follows ; 1) The incidence of a good recovery for the early surgery planned group was 74%, and that of the late surgery planned group was 67%, but there was no statistically significant difference between two groups. 2) The incidence of a delayed ischemic deficit was 24% for the early surgery planned group, and 29% for the late surgery planned group, with no statistically significant difference. But, the incidence of rebleeding was 2% for the early surgery group, and 14% for the late surgery planned group, so there was a statistically significant difference here. 3) The total management outcome of the early and late surgery planned group was similar, but early surgery was advantageous for the prevention of rebleeding.
