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Journal of Korean Neurosurgical Society > Volume 21(2); 1992 > Article
Journal of Korean Neurosurgical Society 1992;21(2): 162-167.
Middle Cerebral Artery Aneurysms Associated with Intracerebral Hematoma:A Surgico-Clinical Study of 21 Cases.
Jin Soo Kim, Seung Jae Lee, Jong Soo Lee, Hyo Ill Park
Department of Neurological Surgery, Paik Hospital, Inje University Medical College, Seoul, Korea.
Surgico-clinical study was done in the cases of 21 middle cerebral artery aneurysms associated in intracerebral hematoma. Compare with other aneurysms, hematoma associated middle cerebral aneurysms have more higher mortality and morbidity because of the profound initial bleeding effect and also combining brain edema and brain shift due to hematomal space occupying. Relative early surgery which was one stage operation as removal of hematoma and followed by direct clipping of aneurysm was recommended. Surgical mortality was 38% and morbidity was 14.3%, and the post-operative morbidity cases were vegetative state in all.
Key Words: Middle cerebral artery aneurysm; Intracerebral hematoma; Higher mortality
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