Abstract
The role of surgery for intracranial aneurysms is usually preventive. From the natural history of ruptured aneurysms, it is well recognised that life or neurological function may be further threatened by a recurrent haemorrhage from the aneurysm. The risk of rebleeding is most frequent in the first 2 weeks after the initial bleed, but remains for the rest of the patient’s life to a variable degree. Surgical obliteration of the aneurysm after the first haemorrhage is the best way to prevent a recurrent bleed. However, the surgical treatment of an intracranial aneurysm is a formidable measure, with a potential risk of mortality and morbidity. When the brain has already been injured by the SAH, the risk of complication from surgical intervention is proportionately high. The role of aneurysm surgery must, therefore, be considered in terms of its effectiveness, its complications and the natural history of the aneurysm.
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© 1986 Springer-Verlag Berlin Heidelberg
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Sengupta, R.P., McAllister, V.L. (1986). Basic Principles of Surgical Treatment of Intracranial Aneurysms. In: Subarachnoid Haemorrhage. Springer, London. https://doi.org/10.1007/978-1-4471-1383-6_10
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DOI: https://doi.org/10.1007/978-1-4471-1383-6_10
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