Emergency Microsurgery for Aneurysmal Subarachnoid Hemorrhage Coexisting with Brain Hernia

被引：5

作者：

Lu, Tian-Shu ^{[1
,2
]}

Guan, Jing-Yu ^{[1
]}

An, Chun-Li ^{[2
]}

机构：

[1] Shenyang Northern Hosp, Dept Neurosurg, Shenyang, Peoples R China

[2] China Med Univ, Sch Basic Med, Shenyang, Peoples R China

来源：

TURKISH NEUROSURGERY | 2014年 / 24卷 / 05期

关键词：

Aneurysm; Brain hernia; Emergency; Subarachnoid hemorrhage; Surgery; POOR-GRADE PATIENTS; PREOPERATIVE PREDICTION; INTRACEREBRAL HEMATOMA; MANAGEMENT; VASOSPASM;

D O I：

10.5137/1019-5149.JTN.9283-13.2

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

AIM: This work aims to summarize the experience in emergency microsurgery for patients with aneurysmal subarachnoid hemorrhage (SAH) that coexisted with brain hernia. MATERIAL and METHODS: A total of 26 patients with aneurysmal SAH complicated by brain hernia were subjected to emergency aneurysm clamping + decompressive craniectomy. 10 patients were diagnosed with aneurysmal SAH coexisted with brain hernia before operation. RESULTS: Four patients had a carotid aneurysm, 15 had a middle artery aneurysm, and 7 had an anterior communicating aneurysm. The surgical procedure was performed smoothly for all patients. The patients were followed up for 3 months to 6 months. According to Glasgow outcome scaling, five patients recovered well, six suffered from moderate disability, five were subjected to severe disability, five were in plant survival, and 5 died. CONCLUSION: Emergency surgical exploration is an effective treatment method for patients

引用

页码：695 / 698

页数：4

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