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Journal of Korean Neurosurgical Society 1994;23(3): 324-330.
Surgical Treatment of Intracranial Aneurysms with Large Hematoma.
Young Gyun Jeong, Sun Il Lee, Soo Chun Kim, Jae Hong Sim
Department of Neurosurgery, Pusan Paik Hospital, Inje University, Pusan, Korea.
Of 414 patients with ruptured intracranial aneurysms, 42 cases had large intracerebral hematoma over 30cc un volume and were operated on at the Pusan Paik Hospital, Inje University from 1990 to 1992. The incidence of the large hematoma was 10% and the highest age incidence was 6th decade. The most frequent site of aneurysm with large hematoma was middle cerebral artery and the mean volume of hematoma was 58 cc. There was a favorable outcome(good and fair) in 40% of all the cases and 34% mortality, Mortality rate increased in patients who had larger hematoma, had poor clinical or neurological grade at the diagnosis and were operated on after 72 hours of attack. We recommend that in aneurysmal patients with large hematoma, hematoma should be removed as soon as possible and that ruptured aneurysm be clipped at the same time.
Key Words: Intracranial aneurysm; Large hematoma; Surigical removal; Earlier operation
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