Abstract
We treated 26 cases of cerebral aneurysms and other intracranial hemorrhagic diseases in patients who needed hemodialysis. Among them, neurosurgical operations were performed in 12 patients and postoperative bleeding or rebleeding occurred in 4 patients. All the bleeding occurred intraparenchymally and rebleeding was not seen in other 14 non-operative patients.
We also analyzed 31 patients with cerebral aneurysms who were under hemodialysis, including 7 of our cases and 24 cases from the literature. It was apparent that final outcome of these patients depended on the initial level of consciousness but not on the mode of dialysis.
From these data we conclude that intracranial hemorrhagic disease can be safely operated on when the manipulation is confined in the extrapial space.
