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Acta Neurochirurgica

Published in:

01-08-2009 | Clinical Article

Outcome after emergency surgery without angiography in patients with intracerebral haemorrhage after aneurysm rupture

Authors: Ove Bergdal, Jacob Springborg, John Hauerberg, Vagn Eskesen, Lars Poulsgaard, Bertil Romner

Published in: Acta Neurochirurgica | Issue 8/2009

Abstract

Background

Patients with large intracerebral haematomas (ICH) from aneurysm rupture often present in a poor clinical condition and have a poor prognosis. Time delay for preoperative angiography might in some cases be unappealing. We evaluated the outcome after immediate haematoma removal and aneurysm occlusion without preoperative angiography.

Methods

We retrospectively identified 13 consecutive patients. We recorded clinical data and evaluated mortality and morbidity with the Glasgow Outcome Score (GOS) and Telephone Interview of Cognitive Status (TICS).

Findings

At follow up seven of thirteen patients had favourable outcome assessed by GOS. Three patients had severe disability and three patients died. None of the survived patients interviewed had impaired cognition.

Conclusions

In patients presented in a critical state with aneurysmal ICH, emergency haematoma removal and aneurysm clipping without the delay for diagnostic angiography may be life saving and a satisfactory outcome can be accomplished.

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Title: Outcome after emergency surgery without angiography in patients with intracerebral haemorrhage after aneurysm rupture
Authors: Ove Bergdal
Jacob Springborg
John Hauerberg
Vagn Eskesen
Lars Poulsgaard
Bertil Romner
Publication date: 01-08-2009
Publisher: Springer Vienna
Published in: Acta Neurochirurgica / Issue 8/2009
Print ISSN: 0001-6268
Electronic ISSN: 0942-0940
DOI: https://doi.org/10.1007/s00701-009-0326-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Outcome after emergency surgery without angiography in patients with intracerebral haemorrhage after aneurysm rupture

Abstract

Background

Methods

Findings

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Findings

Conclusions

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