Please use this identifier to cite or link to this item: http://hdl.handle.net/11452/24761
Title: Early surgical management of middle cerebral artery aneurysms associated with intracerebral hematomas: The Uludaǧ University experience
Authors: Uludağ Üniversitesi/Tıp Fakültesi/Nöroşirürji Anabilim Dalı.
0000-0003-3633-7919
Kocaeli, Hasan
Korfalı, Ender
Savran, Mehmet
Yılmazlar, Selçuk
Bekar, Ahmet
Doǧan, Şeref
AAH-5070-2021
AAI-6531-2021
6603500567
7004641343
6506735836
6603059483
6603677218
7102693077
Keywords: Neurosciences & neurology
Surgery
Aneurysm
Middle cerebral artery
Intracerebral hematoma
Clipping
Sylvian fissure
Ruptured intracranial aneurysms
Intrasylvian hematomas
Prognostic-factors
Clot evacuation
Surgery
Hemorrhage
Angiography
Isat
Issue Date: Feb-2011
Publisher: Lippincott Williams & Wilkins
Citation: Kocaeli, H. vd. (2011). "Early surgical management of middle cerebral artery aneurysms associated with intracerebral hematomas: The Uludaǧ University experience". Neurosurgery Quarterly, 21(1), 26-32.
Abstract: In this case series study, the surgical outcomes of 29 patients with intracerebral hematomas resulting from the rupture of middle cerebral artery aneurysms that were operated on within the first 12 hours after rupture were retrospectively analyzed. Preoperative cerebral angiography could be obtained in 12 (41.3%) of our patients. Outcome was assessed according to the Glasgow Outcome Scale at 6 months after surgery. Overall mortality was 48%. Of 12 patients in good preoperative condition, 6 (50%) had a favorable outcome (Glasgow Outcome Scale, 4 to 5), whereas of the 17 patients in poor preoperative condition only 1 (5.8%) had a favorable outcome (P = 0.042). Our results suggest that despite early surgical treatment of patients with ruptured middle cerebral artery aneurysms associated with massive intracerebral hematoma, mortality continues to be high in patients with poor preoperative grades.
URI: https://doi.org/10.1097/WNQ.0b013e318203aa30
https://pubmed.ncbi.nlm.nih.gov/17449171/
http://hdl.handle.net/11452/24761
ISSN: 1050-6438
1534-4916
Appears in Collections:Scopus
Web of Science

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