重症破裂脳動脈瘤の治療

DOI 被引用文献13件

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  • Management Outcome of Poor-Grade Patients with Aneurysmal SAH

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By analyzing consecutive 100 cases with aneurysmal SAH, problems involved in the treatment of poor-grade patients are discussed. Among 100 cases, 55 cases were in Grade IV or V by Hunt system. We operated on all the cases in an acute stage except cases that had lost brain stem functions. Good outcome was obtained in 40 of 43 operated on of the good-grade patients (Grade I-III), in half of the operated Grade IV patients but exceptionally in Grade V patients.<BR>Although “primary damage” might be the major cause of poor results in poor-grade patients, it was not possible to differentiate primary and secondary damage. To improve surgical results, further investigation on brain protection after initial damage is mandatory.

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