[Early surgery of subarachnoid hemorrhage from cerebral aneurysms. A material from health care region 5].
During the period 1986 to 1993, 94 patients were admitted consecutively to the neurosurgical department of Tromsø university hospital following subarachnoid haemorrhage. Nine-three patients were operated on. Five patients were in extremely poor condition and three were operated on as emergency cases after computerized tomography without previous angiography. They are included in the total management outcome and also in the outcomes after early surgery. Of all the patients, 63.8% returned to their previous activities, 12.8% experienced moderate invalidity, and 9.6% had serious invalidities. The total management mortality was 13.8%. Fifty-four patients were operated on within three days, and 64.8% of these returned to their previous activities. Of these 14.8% ended up with moderate invalidity; mortality was 11.1%. Of eight patients above 70 years of age, five underwent early surgery. In six of these older patients the final outcome was good, one became disabled and one died. We consider early surgery to be by far the most important factor for achieving optimal results from surgery.
Egge
A
A
Nevrokirurgisk avdeling, Regionsykehuset i Tromsø.
Kloster
R
R
Trumpy
J H
JH
D000328:Adult; D000368:Aged; D005260:Female; D006785:Hospitals, University / Q000706:statistics & numerical data; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009664:Norway; D011379:Prognosis; D013345:Subarachnoid Hemorrhage / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D013997:Time Factors
Tidlig operasjon ved subaraknoidalblødning fra cerebrale aneurismer. Et materiale fra helseregion 5.