title: Emergency microsurgery for aneurysmal subarachnoid hemorrhage coexisting with brain hernia.
abstract: OBJECTIVE
  This work aims to summarize the experience in emergency microsurgery for patients with aneurysmal subarachnoid hemorrhage (SAH) that coexisted with brain hernia.
  
  
  METHODS
  A total of 26 patients with aneurysmal SAH complicated by brain hernia were subjected to emergency aneurysm clamping + decompressive craniectomy. 10 patients were diagnosed with aneurysmal SAH coexisted with brain hernia before operation.
  
  
  RESULTS
  Four patients had a carotid aneurysm, 15 had a middle artery aneurysm, and 7 had an anterior communicating aneurysm. The surgical procedure was performed smoothly for all patients. The patients were followed up for 3 months to 6 months. According to Glasgow outcome scaling, five patients recovered well, six suffered from moderate disability, five were subjected to severe disability, five were in plant survival, and 5 died.
  
  
  CONCLUSIONS
  Emergency surgical exploration is an effective treatment method for patients.
authors.affiliation: Shenyang Northern Hospital, Department of Neurosurgery, Shenyang, China.
authors.forename: Tian-Shu
authors.initials: TS
authors.lastname: Lu
authors.forename: Jing-Yu
authors.initials: JY
authors.lastname: Guan
authors.forename: Chun-Li
authors.initials: CL
authors.lastname: An
mesh_terms: D000328:Adult; D000368:Aged; D020771:Anterior Cerebral Artery; D001930:Brain Injuries / Q000150:complications / Q000000981:diagnostic imaging / Q000401:mortality / Q000601:surgery*; D002339:Carotid Arteries; D056424:Decompressive Craniectomy; D004636:Emergency Service, Hospital; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications / Q000000981:diagnostic imaging / Q000401:mortality / Q000601:surgery*; D008297:Male; D008866:Microsurgery; D008875:Middle Aged; D020768:Middle Cerebral Artery; D012189:Retrospective Studies; D013345:Subarachnoid Hemorrhage / Q000150:complications / Q000000981:diagnostic imaging / Q000401:mortality / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014421:Turkey