Journal of Korean Neurosurgical Society  1989;18(6):846-851

Clinical Analysis of Early Operation for Elderly Patients with Ruptured Aneurysm.

Jung Hoon LEE 1 ; Byung Ook CHOI ; Soo Chun KIM ; Jae Hong SIM

Affiliations

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Keywords

Elderly patient; Intracranial aneurysm; Early operation; Surgical outcome

Country

Republic of Korea

Language

Korean

Abstract

Direct operation for ruptured aneurysm should be the choice of treatment in elderly patients same as in younger cases. The early operation is an effective and reliable method to reduce the occurrence of rebleeding, vasospasm, ischemic complication, medical complication & to shorten lengths of hospitalization. To evaluate the risk of early operation of elderly patients with ruptured cerebral aneurysm. conducted a retrospective analysis 81 elderly patients with ruptured aneurysms who were over aged 60 years between Jan 1985 to June 1988. Of these, 47 case were performed early operation in which the direct intracranial operation was carried out within 3 days after last subarachnoid hemorrage. 77 % had favorable outcome and 13% died.