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Acute surgery for intracerebral haematomas caused by rupture of an intracranial arterial aneurysm

A prospective randomized study

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Summary

In a randomized prospective study, 15 patients with an intracerebral haematoma caused by an intracranial aneurysm were treated concervatively and 15 operated on as an emergency. Mortality was 12/15 (80%) in the conservative group and 4/15 (27%) in the surgical group. The difference is statistically significant. The deaths in the conservative group were caused by both the primary haematoma and rebleeding. The results suggest that intracerebral haematomas caused by rupture of an intracranial aneurysm should be evacuated immediately, and that the aneurysm should be clipped at the same operation.

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Author notes

  1. A. Poranen

    Present address: Department of Neurosurgery, Helsinki University Central Hospital, Helsinki, Finland

  2. M. Kaste

    Present address: Department of Neurology, Helsinki University Central Hospital, Helsinki, Finland

  3. T. Kuurne M.D.

    Present address: Neurosurgical Department, Tampere University Central Hospital, 33520, Tampere, Finland

  4. S. Valtonen M.D.

    Present address: Neurosurgical Department, Turku University Central Hospital, Kiinamyllynkatu 4-8, 20520, Turku, Finland

Authors and Affiliations

  1. Department of Neurosurgery, Helsinki University Central Hospital, Helsinki, Finland

    O. Heiskanen, T. Kuurne M.D., S. Valtonen M.D. & M. Kaste

  2. Department of Neurology, Helsinki University Central Hospital, Helsinki, Finland

    O. Heiskanen, A. Poranen, T. Kuurne M.D. & S. Valtonen M.D.

Authors
  1. O. Heiskanen
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  2. A. Poranen
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  3. T. Kuurne M.D.
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  4. S. Valtonen M.D.
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  5. M. Kaste
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Heiskanen, O., Poranen, A., Kuurne, T. et al. Acute surgery for intracerebral haematomas caused by rupture of an intracranial arterial aneurysm. Acta neurochir 90, 81–83 (1988). https://doi.org/10.1007/BF01560559

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  • DOI: https://doi.org/10.1007/BF01560559

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