Head Injuries pp 203-207 | Cite as

Incidence, Management, and Outcome of Patients with Premature Rupture of Cerebral Aneurysms During Surgery

  • V. Seifert
  • D. Stolke
  • H. A. Trost
  • A. Brüning
  • J. Schäffer
Part of the Advances in Neurosurgery book series (NEURO, volume 17)


Despite the routine application of microsurgical techniques, the intraoperative rupture of an intracranial arterial aneurysm represents an unexpected and sometimes disastrous event. Although every neurosurgeon has encountered intraoperative rupture, the neurosurgi- cal literature on this topic is surprisingly sparse. Few authors have tried to determine the incidence, the criteria of management, and the impact of intraoperative aneurysm rupture on the subsequent outcome of patients with subarachnoid hemorrhage [2,4,9,10,14]. In this study we report the results of a retrospective investigation of 85 intraoperative aneurysm ruptures occurring among 204 surgically treated aneurysms.


Intracranial Aneurysm Cerebral Aneurysm Systemic Blood Pressure Aneurysm Rupture Premature Rupture 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Ausmann JI, Diaz FG, Malik GM, Fielding AS, Son ChS (1985) Current management of cerebral aneurysms: Is it based on facts or myths? Surg Neurol 24: 625–635CrossRefGoogle Scholar
  2. 2.
    Batjer H, Samson D (1986) Intraoperative aneurysmal rupture: incidence, outcome, and suggestions for surgical management. Neurosurgery 18: 701–707PubMedCrossRefGoogle Scholar
  3. 3.
    Fox JL (1983) Intracranial aneurysms. Springer-Verlag, New YorkCrossRefGoogle Scholar
  4. 4.
    Greenberg IM (1984) Cerebral aneurysm rupture during neurosurgery. Neurosurgery 15: 243–245PubMedCrossRefGoogle Scholar
  5. 5.
    Hunt WE, Hess RM (1968) Surgical risk as related to time of intervention in the repair of intracranial aneurysms. J Neurosurg 28: 14–19PubMedCrossRefGoogle Scholar
  6. 6.
    Jabre A, Symon L (1987) Temporary vascular occlusion during aneurysm surgery. Surg Neurol 27: 47–63PubMedCrossRefGoogle Scholar
  7. 7.
    Jennett B, Bond M (1975) Assessment of outcome after severe brain damage. Lancet 1: 480–485PubMedCrossRefGoogle Scholar
  8. 8.
    Jomin M, Lesoin F, Lozes G (1984) Prognosis with 500 ruptured and operated intracranial arterial aneurysms. Surg Neurol 21: 13–18PubMedCrossRefGoogle Scholar
  9. 9.
    Paul RL, Arnold JG (1970) Operative factors influencing mortality in intracranial aneurysm surgery: analysis of 186 consecutive cases. J Neurosurg 32: 289–294PubMedCrossRefGoogle Scholar
  10. 10.
    Pertuiset B, Van Effenterre R, Goutorbe J, Yoshimasu N (1974) Management of aneurysmal rupture during surgery using bipolar coagulation, deep hypotension, and the operative microscope. Acta Neurochir 30: 195–205CrossRefGoogle Scholar
  11. 11.
    Saito I, Aritake K, Sano K (1982) Early operation of ruptured cerebral aneurysms — result of 120 cases operated on within one week after SAH. Mod Neurosurg 1: 424–435Google Scholar
  12. 12.
    Seifert V, Stolke D, Trost HA (1988) Timing of aneurysm surgery: comparison of operative results of early and delayed intervention. Europ Arch Neurol Psychiat Sci (in press)Google Scholar
  13. 13.
    Snykers FD, Drake GC (1973) Aneurysms of the distal anterior cerebral artery: a report of 24 verified cases. S Afr Med J 47: 1787–1791Google Scholar
  14. 14.
    Yasargil MG (1984) Microneurosurgery, vol II. Georg Thieme Verlag, StuttgartGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1989

Authors and Affiliations

  • V. Seifert
    • 1
  • D. Stolke
    • 1
  • H. A. Trost
    • 1
  • A. Brüning
    • 1
  • J. Schäffer
    • 1
  1. 1.Neurochirurgische Klinik der Medizinischen Hochschule HannoverHannover 61Germany

Personalised recommendations