Summary
In a series of 122 consecutive patients operated on by the senior author for rupture of an aneurysm the pterional approach was used in all but a few cases. A microsurgical technique was invariably utilized from opening to closing of the dura. Nearly half of our patients underwent surgery within the first week after subarachnoid haemorrhage (SAH). In the majority of cases operated on in the acute stage, a sizable subarachnoid blood clot was evacuated, mostly from the basal cisterns. The authors present their own experience in the field to show the superiority of the technically more demanding surgery carried out within the first days following SAH over other therapeutic procedures.
Similar content being viewed by others
References
Johnson, R. J., Potter, J. M., Reid, R. C., Arterial spasm in subarachnoid hemorrhage: Mechanical consideration. J. Neurol. Neurosurg. Psychiat.21 (1958), 68.
Kajikawa, H., Ohta, T., Yoshikawa, Y., Funatsu, N., Yamamoto, M., Someda, K., Cerebral vasospasm and hemoglobins—Clinical and experimental Studies. Neurol. Med. Chir.19 (1979), 61–71.
Kim, H., Mizukami, M., Kawase, T., Takemae, T., Araki, G., Time course of vasospasm—Its clinical significance. Neurol. Med. Chir.19 (1979), 95–102.
Nonaka, T., Watanabe, S., Chigasaki, H., Miyaoka, M., Ishii, S., Etiology and treatment of vasospasm following subarachnoid hemorrhage. Neurol. Med. Chir.19 (1979), 53–60.
Ohmoto, T., Mino, S., Nishimoto, A., Nigashi, T., Miyake, S., Doi, A., Operative results of ruptured intracranial aneurysms in aged patients. Neurol. Med. Chir.20 (1980), 721–728.
Pool, J. L., Early treatment of ruptured intracranial aneurysms of the circle of Willis with special clip technique. Bull. N.Y. Acad. Med.35 (1959), 357–369.
Saito, I., Sano, K., Vasospasm following rupture of cerebral aneurysms. Neurol. Med. Chir.19 (1979), 103–107.
Suzuki, I., Yoshimoto, T., Early operation for the ruptured intracranial aneurysms. Neurol. Surg.4 (1976), 135–141.
Suzuki, I., Onuma, T., Yoshimoto, T., Results of early operation on cerebral aneurysms. Surg. Neurol.11 (1979), 407–412.
Takahashi, Sh., Sonobe, M., Nagamine, Y., Early operations for ruptured intracranial aneurysms. Comparative study with computed tomography. Acta neurochir. (Wien)57 (1981), 1–2.
Walker, A. E., A History of Neurological Surgery, p. 254. New York: Hafner Publ. Company. 1967.
Yaşargil, M. G., Fox, J. L., Ray, M. W., The operative approach to aneurysms of the anterior communicating artery. In: Advances and Technical Standards in Neurosurgery, Vol. 2 (Krayenbühl, H.,et al., eds.), pp. 115–128. Wien-New York: Springer. 1975.
Yaşargil, M. G., Antić, I., Laciga, R., Jain, K. K., Hodosh, R. M., Smith, R. D., Microsurgical pterional approach to aneurysms of the basilar bifurcation. Surg. Neurol.6 (1976), 63–91.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Dolenc, V., Fettich, M., Koršič, M. et al. Blood clot evacuation in aneurysm surgery in the acute stage (arguments pro and con). Acta neurochir 63, 105–109 (1982). https://doi.org/10.1007/BF01728861
Issue Date:
DOI: https://doi.org/10.1007/BF01728861