title: Surgical management in subarachnoid haemorrhage with multiple aneurysms.
abstract: Direct surgical attack on a ruptured intracranial aneurysm is a generally accepted form of treatment, but because of incomplete knowledge of the natural history, controversy still exists on whether to treat the unruptured aneurysm similarly. In a series of 38 patients with 79 aneurysms, 59 operations were performed. On discharge 93% of the patients could be regarded as in an excellent or good state; 7% died. It is suggested that all aneurysms should be treated surgically but that more than one aneurysm should not be treated at the same operation ig extensive dissection is required to deal with the second one.
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications / Q000401:mortality / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D013345:Subarachnoid Hemorrhage / Q000150:complications / Q000401:mortality / Q000601:surgery*