Surgery of Cerebral Aneurysms in Comatose Patients.
- Author:
Hae Kon CHOI
1
;
Han Kyu KIM
;
Yong Soon HWANG
;
Jae Gon MOON
;
Hwa Dong LEE
Author Information
1. Department of Neurosurgery, Kosin University, Pusan, Korea.
- Publication Type:Original Article
- Keywords:
Aneurysms;
Comatose patient;
Early surgery;
Clinical outcome;
Prognostic
- MeSH:
Aneurysm;
Aneurysm, Ruptured;
Brain;
Coma*;
Drainage;
Humans;
Intracranial Aneurysm*;
Mortality;
Nimodipine;
Rupture
- From:Journal of Korean Neurosurgical Society
1994;23(10):1150-1156
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Neurological grade on admission is an important prognostic factor for aneurysmal patients. The decision for operation in comatose patients with ruptured aneurysm is difficult and remains controversial. Recent literatures tend to emphasize the benefit of operative treatment for these patients because of the higher mortality of the patients who were managed conservatively. We performed early surgery in ten comatose aneurysmal patients combining lumbar drainage, intravenous and cisternal nimodipine therapy, and intermittent brain retraction. Among these ten patients, four showed survival over three months. We suggest that early surgery with aggressive postoperative management should be considered in comatose aneurysmal rupture patients for life-saving.
