|
KMID : 0359819730020010001
|
|
Journal of Korean Neurosurgical Society
1973 Volume.2 No. 1 p.1 ~ p.8
|
|
|
Treatment of cerebral aneurysms and aneurysm surgery under hypotension
|
|
宋鎭彦/Song, Jin Un
李永振/崔昌洛/姜俊基/宋將成/河榮秀/李春章/Lee, Young Kun/Choi, Chang Rak/Kang, Joon Ke/Song, Jang Sung/Ha, Yung Soo/Lee, Choon Jang
|
|
|
Abstract
|
|
|
Authors have experienced 104 cases of the intracranial aneurysms with sub arachngid hemorrhage, who were proved to have aneurysm by cerebral angiography for past 8 years.
Aneurysm surgery under controlled hypotension has shown far better result than that of surgery under hypothermia, carotid ligation or conservative treatment. Of the 104 cases, the site distribution of aneurysms and the result of various treatment are analyzed:
Followings are the results.
1. Anterior communicating aneurysm was 44 per-cent of the cases and it was most common site of the intracranial aneurysm. 19 percent of aneurysms located on internal carotid artery at the posterior communicatingg artery, and middle cerebral artery aneurysm was 16%. The site distribution of aneurysms in Korean has shown marked difference from the reports of other countries.
2. Of 40 cases, who received conservative therpy, 15 cases C37.5%) were expired, and most of them were dead, due to rebleeding from aneurysms.
3. The direct attack of aneurysms through intracranial approach was performed under moderate hypothermia till 1970, and controlled hypotension was introduced thereafter. In 49 cases of intracranial aneurysm surgery, 7 (14.2%) were expired following surgery.
4. Mortality of the carotid ligation for 15 cases of the intracranial aneurysms was 40 percent. Cerebral.ischemia :or rebleeding was cause of death.
5. Intracranial aneurysm surgery under hypotension was carried out in 16 cases, and one case 0.2%) was expired. Induced hypotension and careful identification of aneurysm and neighbouring structures by magnifying operating glasses promoted operative result in aneurysm surgery.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
 
|
|