Catalogo Articoli (Spogli Riviste)

OPAC HELP

Titolo:
OVERALL MANAGEMENT OUTCOME OF RUPTURED POSTERIOR-FOSSA ANEURYSMS
Autore:
HILLMAN J; SAVELAND H; JAKOBSSON KE; EDNER G; ZYGMUNT S; FRIDRIKSSON S; BRANDT L;
Indirizzi:
LINKOPING UNIV HOSP,DEPT NEUROSURG S-58185 LINKOPING SWEDEN UNIV LUND HOSP S-22185 LUND SWEDEN SAHLGRENS UNIV HOSP,DEPT NEUROSURG GOTHENBURG SWEDEN KAROLINSKA INST,DEPT NEUROSURG STOCKHOLM SWEDEN UNIV HOSP NO SWEDEN,DEPT NEUROSURG UMEA SWEDEN
Titolo Testata:
Journal of neurosurgery
fascicolo: 1, volume: 85, anno: 1996,
pagine: 33 - 38
SICI:
0022-3085(1996)85:1<33:OMOORP>2.0.ZU;2-S
Fonte:
ISI
Lingua:
ENG
Soggetto:
SUBARACHNOID HEMORRHAGE; BASILAR ARTERY; CIRCULATION ANEURYSMS; NEUROSURGICAL UNITS; OPERATION; POPULATION; MORBIDITY; MORTALITY; SURGERY; NIMODIPINE;
Keywords:
OVERALL MANAGEMENT OUTCOME; POSTERIOR FOSSA ANEURYSM; SUBARACHNOID HEMORRHAGE;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
37
Recensione:
Indirizzi per estratti:
Citazione:
J. Hillman et al., "OVERALL MANAGEMENT OUTCOME OF RUPTURED POSTERIOR-FOSSA ANEURYSMS", Journal of neurosurgery, 85(1), 1996, pp. 33-38

Abstract

A study of the overall management of ruptured posterior fossa aneurysms was conducted over a 1-year period (1993) in five neurosurgical centers in Sweden, serving a population of 6.93 million people. Forty-nine cases were identified and treated. One-third of the patients were inthe seventh or eighth decade of life. Good overall management outcomes at 6 months were achieved in 30 cases (61%). The overall mortality rate was 27%. Patients with Hunt and Hess Grades I and II had a good overall recovery rate of 87%. On admission, 69% of the patients were assigned Hunt and Hess Grades III to V. The impact on patient outcomes ofthe intraoperative difficulties encountered, especially in the basilar tip area, is stressed. The authors found that delayed operation is not warranted in most cases. Frequent devastating rebleeding was observed among patients not offered early aneurysm clipping and the operative results were not at significant variance between the early and late surgical groups. Only 50% of the patients scheduled for delayed surgery ultimately made a good recovery, whereas 72% of patients scheduled for early operation did so. The data demonstrate that overall management results with posterior fossa aneurysms, comparable to achievements with supratentorial lesions, are within the reach of modern strategies,even in centers not specializing in these problems.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/11/20 alle ore 05:55:36