Nosotchu no Geka Kenkyukai koenshu
Online ISSN : 2187-185X
Print ISSN : 0387-8031
ISSN-L : 0387-8031
Analysis of 42 Re-rupture Intracranial Aneurysms and Prevention of Rerupture in Acute Stage
-From Viewpoint of Early Surgery-
Akihiro DoiToru TomitaHiroyuki NakashimaNoriko TakasugiKimihiro YoshinoHiroshi NomikaneYoshimi Baba
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1986 Volume 14 Pages 143-145

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Abstract
We report 42 re-rupture aneurysmal cases. Re-rupture aneurysms have their highest rate (38%) on day 0 and 20 cases out of 42 cases were rebled within day 0 to day 3. 22 cases were rebled during the examinations such as cerebral angiography or CT scanning just after admission. These results suggest that the prevention for re-bleeding is very important from the viewpoint of early surgery. Therefore, we took care of patients under general anesthesia in acute stage and cerebral angiography was examined for 21 cases. Re-bleeding did not occur in this series during the examination.
We recommend that cerebral angiography or CT scanning in case of severe patients (Hunt 3 or 4 )should be performed under general anesthesia by anesthesiologist as soon as possible.
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© The Japanese Society on Surgery for Cerebral Stroke
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