Journals / Turkish Neurosurgery / 2014 / Cilt: 24 - Sayı: 5

Emergency Microsurgery for Aneurysmal Subarachnoid hemorrhage Coexisting with Brain hernia

Beyin Herniasyonuna Eşlik Eden Anevrizmal Subaraknoid Kanama İçin Acil Mikrocerrahi

Pages
695–698
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

CoNCLusIoN: Emergency surgical exploration is an effective treatment method for patients.

📌 3 Key Takeaways

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Objective & Hypothesis: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.
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Key Findings & Data:The patients were followed up for 3 months to 6 months.
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Conclusion & Impact:CoNCLusIoN: Emergency surgical exploration is an effective treatment method for patients.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

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.

Özet

AmAÇ: Çalışma, beyin herniasyonuna eşlik eden anevrizmal subaraknoid kanama (SAK) hastalarında acil mikrocerrahi deneyimini özetlemeyi amaçlamaktadır. yÖNTEm ve GEREÇLER: Beyin herniasyonu ile komplike anevrizmal SAK'sı olan 26 hastada acil anevrizma klipleme + dekompresif kraniyektomi yapıldı. 10 hastaya ameliyattan önce beyin herniasyonuna eşlik eden anevrizmal SAK tanısı konuldu.BuLGuLAR: Dört hastada karotid anevrizma, 15'inde orta serebral arter anevrizması ve 7'sinde anterior komünikan arter anevrizması vardı. Cerrahi müdahale bütün hastalarda sorunsuz uygulandı. Hastalar 3 ila 6 ay boyunca takip edildi. Glasgow sonuç ölçekleme yöntemine göre beş hasta tam iyileşti, altısı orta derecede, beşi ise ciddi maluliyet yaşadı. Beş hasta bitkisel hayata girdi ve beşi ise öldü. soNuÇ: Acil cerrahi hastalar için etkili bir tedavi yöntemidir.

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Cite This Article

LU, T., GUAN, J., AN, C. (2014). Emergency Microsurgery for Aneurysmal Subarachnoid hemorrhage Coexisting with Brain hernia. Turkish Neurosurgery, Cilt: 24 - Sayı: 5, 695–698. https://ajindex.com/articles/404821

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References (1)

  1. Bailes JE, Spetzler RF, Hadley MN, Baldwin HZ: Management morbidity and mortality of poor grade aneurysm patients. J Neurosurg 72: 559-566, 1990 2. Carvi y Nievas M, Toktamis S, Höllerhage HG, Haas E: Hyperacute measurement of brain-tissue oxygen, carbon dioxide, pH, and intracranial pressure before, during, and after cerebral angiography in patients with aneurysmatic subarachnoid hemorrhage in poor condition. Surg Neurol 64: 362-367, 2005 3. Gupta SK, Ghanta RK, Chhabra R, Mohindra S, Mathuriya SN, Mukherjee KK, Umredkar AU, Singla N: Poor-grade subarachnoid hemorrhage: Is surgical clipping worthwhile? Neurol India 59: 212-217, 2011 4. Güresir E, Beck J, Vatter H, Setzer M, Gerlach R, Seifert V, Raabe A: Subarachnoid hemorrhage and intracerebral hematoma: Incidence, prognostic factors, and outcome. Neurosurgery 63: 1088-1093, 2008 5. Hauerberg J, Eskesen V, Rosenorn J: The prognostic significance of intracerebral hematoma as shown on CT scanning after aneurysmal subarachnoid haemorrhage. Br J Neurosurg 8: 333-339, 1994 6. Huang AP, Arora S, Wintermark M, Ko N, Tu YK, Lawton MT: Perfusion computed tomographic imaging and surgical selection with patients after poor-grade aneurysmal subarachnoid hemorrhage. Neurosurgery 67: 964-974, 2010 7. Kassell NF, Torner JC, Jane JA, Haley EC Jr, Adams HP: The international cooperative study on the timing of aneurysm surgery. J Neurosurg 73: 37-47, 1990 8. Komotar RJ, Schmidt JM, Starke RM, Claassen J, Wartenberg KE, Lee K, Badjatia N, Connolly ES Jr, Mayer SA: Resuscitation and critical care of poor-grade subarachnoid hemorrhage. Neurosurgery 64: 397-410, 2009 9. Lai JD, Siu KH: Poor grade aneurysmal subarachnoid hemorrhage: Outcome after treatment with urgent surgery. Neurosurgery 53: 1275-1282, 2003 10. Le Roux PD, Elliott JP, Newell DW, Grady MS, Winn HR: Predicting outcome in poor-grade patients with subarachnoid hemorrhage: A prospective review of 159 aggressively managed cases. J Neurosurg 85: 39-49, 1996 11. Mocco J, Ransom ER, Komotar RJ, Schmidt JM, Sciacca RR, Mayer SA, Connolly ES Jr: Preoperative prediction of longterm outcome in poor-grade aneurysmal subarachnoid hemorrhage. Neurosurgery 59: 529-538, 2006 12. Otani N, Takasato Y, Masaoka H, Hayakawa T, Yoshino Y, Yatsushige H, Miyawaki H, Sumiyoshi K, Chikashi A, Takeuchi S, Suzuki G: Surgical outcome following decompressive craniectomy for poor-grade aneurysmal subarachnoid hemorrhage in patients with associated massive intracerebral or Sylvian hematom