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Some observations on the microneurosurgical treatment of intracranial aneurysms

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Summary

This paper reports a retrospective study of the microneurosurgical management of intracranial aneurysm in 133 patients. Good or fair results were obtained in 76%, 12% of patients had a poor result and the mortality was 12%. Major factors which were found to influence the outcome of surgery were: pre-operatively, the Botterell grade of the patient, preexisting systemic hypertension and the time interval between the last subarachnoid haemorrhage and surgery. Post-operatively, the development of cerebral vasospasm was associated with a poor outcome from surgery. Better results might be obtained from the surgery of intracranial aneurysm by delaying operation to the second week after subarachnoid haemorrhage and by better management of hypertensive patients pre-operatively and patients who develop cerebral vasospasm post-operatively.

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References

  1. Lawrence Pool, J., Colton, R. P., The dissecting microscope for intracranial vascular surgery. J. Neurosurg.23 (1966), 315–318.

    Google Scholar 

  2. Rand, R. W., Kurze, T.. Janetta, P. J., Microneurosurgery for aneurysms. J. Neurosurg.27 (1967), 330–336.

    PubMed  Google Scholar 

  3. Krayenbühl, H. A., Yaşargil, M. G., Flamm, E. S., Tew, J. M., Microsurgical treatment of intracranial saccular aneurysm.J. Neurosurg.37 (1972), 678–686.

    PubMed  Google Scholar 

  4. Botterell, E. H., Lougheed, W. M., Scott, J. W., Vandewater, S. L., Hypothermia and interruption of carotid or carotid and vertebral circulation, in the surgical management of intracranial aneurysms. J. Neurosurg.13 (1956) 1–42.

    PubMed  Google Scholar 

  5. Kannel, W. B., Schwartz, M. J., McNamara, P. M., Blood pressure and risk of coronary heart disease. Diseases of the Chest56 (1969), 43–52.

    PubMed  Google Scholar 

  6. Lawrence Pool, J., Timing and techniques in the intracranial surgery of ruptured aneurysms of the anterior communicating artery. J. Neurosurg.19 (1962), 378–388.

    PubMed  Google Scholar 

  7. Hunt, W. E., Hess, R. M., Surgical risk as related to time of intervention in the repair of intracranial aneurysms. J. Neurosurg.28 (1968), 14–19.

    PubMed  Google Scholar 

  8. Doyle, A. E., Fraser, J. R. E., Essential hypertension and inheritance of vascular reactivity. Lancet2 (1961), 509.

    PubMed  Google Scholar 

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Author notes

  1. A. B. Loach

    Present address: Nuffield Department of Anaesthetics, Radcliffe Infirmary, Oxford, England

  2. H. R. C. De Azevedo Filho

    Present address: Department of Neurosurgery, Radcliffe Infirmary, Oxford, England

Authors and Affiliations

  1. Nuffield Department of Anaesthetics, Radcliffe Infirmary, Oxford, England

    H. R. C. De Azevedo Filho

  2. Department of Neurosurgery, Radcliffe Infirmary, Oxford, England

    A. B. Loach

Authors
  1. A. B. Loach
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  2. H. R. C. De Azevedo Filho
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Loach, A.B., De Azevedo Filho, H.R.C. Some observations on the microneurosurgical treatment of intracranial aneurysms. Acta neurochir 35, 97–103 (1976). https://doi.org/10.1007/BF01405938

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  • DOI: https://doi.org/10.1007/BF01405938

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