title: [Surgical treatment of ruptured anterior circulation aneurysms in elders].
abstract: OBJECTIVE
  To explore some related problems in surgical treatment of ruptured anterior circulation intracranial aneurysms in elders.
  
  
  METHODS
  The clinical data of 38 elderly patients with ruptured anterior circulation intracranial aneurysms were analyzed retrospectively.Such related problems as indication, timing and complications of operation were discussed through their Modified Rankin scales at discharge and half a year later.
  
  
  RESULTS
  Their Hunt-Hess grades were I (n = 6), II (n = 17), III (n = 5), IV (n = 6) and V (n = 4) respectively. Among them, 33 cases were complicated preoperatively with other vital diseases while another 5 previously healthy (III, n = 3; II, n = 1; IV, n = 1). And their modified Rankin scales of discharge and half-a-year follow-up were 0 (n = 12 vs 12), 1 (n = 10 vs 10), 2 (n = 4 vs 4), 3 (n = 3 vs 1), 4 (n = 3 vs 3), 5 (n = 4 vs 3) and 6 (n = 2 vs 3) respectively. All scales of 5 cases of previously healthy patients were 0-2.
  
  
  CONCLUSIONS
  Operation is vital for rescuing patient life and achieving excellent outcomes. Age is not a risk factor for intracranial aneurysms of elders.Early and aggressive operation is recommended for those without contraindications. Physical status is more important than age in decision-making.
authors.affiliation: Department of Neurosurgery, Second Affiliated Hospital, Shandong University, Jinan 250033, China.
authors.forename: Yong
authors.initials: Y
authors.lastname: Ji
authors.affiliation: Department of Neurosurgery, Second Affiliated Hospital, Shandong University, Jinan 250033, China.
authors.forename: Qing-hu
authors.initials: QH
authors.lastname: Meng
authors.affiliation: Department of Neurosurgery, Second Affiliated Hospital, Shandong University, Jinan 250033, China.
authors.forename: Qing-lin
authors.initials: QL
authors.lastname: Zhang
authors.affiliation: Department of Neurosurgery, Second Affiliated Hospital, Shandong University, Jinan 250033, China. Email: wzg3v100@sina.com.
authors.forename: Zhi-gang
authors.initials: ZG
authors.lastname: Wang
mesh_terms: D000368:Aged; D017542:Aneurysm, Ruptured / Q000601:surgery*; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000601:surgery*; D008297:Male; D008866:Microsurgery; D008875:Middle Aged; D012189:Retrospective Studies; D016896:Treatment Outcome