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- W2315552102 abstract "We have treated 25 cases of ruptured intracranial aneurysms with intracerebral hematoma. There were nine male and 16 female patients, and the mean age was 51 years old. The ruptured aneurysms were located in the middle cerebral artery (MCA) in nine cases, the anterior communicating artery and the distal anterior cerebral artery (ACA) in 14 cases, and the internal carotid artery in two cases. Five of 25 patients died of rebleeding in the preoperative period. Fourteen of 18 patients who were surgically treated were operated on within three days after admission. Preoperatively, one patient was classified as Hunt and Kosnik Grade I, two as Grade II, 12 as Grade III and three as Grade IV. Grade I and II patients had a favorable outcome. Half of Grade III patients had a favorable outcome. However, the other half had an unfavorable outcome mainly due to postoperative symptomatic vasospasm. All Grade IV patients had MCA aneurysms, and had an unfavorable outcome, partly because of delay of surgery or intraoperative complications. In MCA aneurysms. the mass effect of intracerebral hematoma was thought to affect the prognosis; therefore, earlier operation might have improved the outcome of the patients. On the other hand, in ACA aneurysms. a poor outcome was thought to be due to symptomatic vasospasm, not to the presence of hematoma. The extent and gravity of subarachnoid hemorrhage had a great influence on the prognosis in cases where intracerebral hematoma was in ruptured aneurysms without hematoma. In ruptured aneurysms with intracerebral hematoma, especially in MCA aneurysms, early surgery including evacuation of the hematoma might improve the morbidity and mortality of patients." @default.
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- W2315552102 date "1989-01-01" @default.
- W2315552102 modified "2023-10-16" @default.
- W2315552102 title "Ruptured Intracranial Aneuysms with Intracerebral Hematoma" @default.
- W2315552102 doi "https://doi.org/10.2335/scs1987.17.2_166" @default.
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