Early Versus Delayed Aneurysm Surgery in Subarachnoid Hemorrhage in Clinical Grade Hunt-Hess III

  • K. Lukow
  • W. Köning
  • J. Menzel
Conference paper
Part of the Advances in Neurosurgery book series (NEURO, volume 20)


Timing of aneurysm surgery in patients in grade III (according to Hunt and Hess) is still being discussed controversially, even reviewing last year’s literature. The main argument for early surgery [1, 2, 5, 7, 10] is recurrent hemorrhage. Its frequency is reported ranging from 9% to 22% during the first 2 weeks. Opponents of early surgery [4, 8, 9] list difficult intraoperative conditions, which include brain edema and the risk of vasospasm. Other authors do not see any essential difference between the results of early or delayed surgery [3, 6, 11]. They decide upon timing according to circumstances [12].


Intracranial Aneurysm Glasgow Outcome Scale Cerebral Vasospasm Aneurysm Surgery Neurosurgical Department 
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Copyright information

© Springer-Verlag Berlin Heidelberg 1992

Authors and Affiliations

  • K. Lukow
  • W. Köning
  • J. Menzel
    • 1
  1. 1.Neurochirurgische Klinik der Städtischen Krankenanstalten Köln-MerheimKöln 91Germany

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