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KMID : 0359819940230101150
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Journal of Korean Neurosurgical Society
1994 Volume.23 No. 10 p.1150 ~ p.1156
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Surgery of Credebral Aneurysms in Comatose Patients
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최해곤
김한규/황용순/문재곤/이화동
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Abstract
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Neurological grade on admission is an important prognostic factor for aneurysmal patients. The decision for operation in comatose patients with ruptured aneurysm is difficult and remains controversial. Recent literatures tend to emphasize the
benefit of
operative treatment for these patients because of the higher mortality of the patients who were managed conservatively.
We performed early surgery in ten comatose aneurysmal patients combining lumbar drainage, intravenous and cisternal nimodipine therapy, and intermittent brain retraction. Among these ten patients, four patients showed survival over three months.
We
suggest that early surgery with aggressive postoperative management should be considered in comatose aneurysmal neurysmal patients for life-saving.
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