TY - JOUR
T1 - Surgical treatment of the ruptured aneurysm
T2 - Timing
AU - Lanzino, G.
AU - Kassell, N. F.
PY - 1998
Y1 - 1998
N2 - Timing of surgery is one of the most important and controversial aspects in the management of the patient with a ruptured aneurysm. For each patient with a ruptured aneurysm, the treating physician is faced with a difficult decision: to operate acutely in order to avoid rebleeding despite the swollen brain, or to wait until the effects of the initial hemorrhage subside. The decision of whether or not to perform surgery acutely after subarachnoid hemorrhage (SAH) strongly affects the ability to prevent and treat some of the complications of SAH. Either approach, early or delayed surgery, has pros and cons. This article reviews the numerous factors that play a role in this delicate decision-making process.
AB - Timing of surgery is one of the most important and controversial aspects in the management of the patient with a ruptured aneurysm. For each patient with a ruptured aneurysm, the treating physician is faced with a difficult decision: to operate acutely in order to avoid rebleeding despite the swollen brain, or to wait until the effects of the initial hemorrhage subside. The decision of whether or not to perform surgery acutely after subarachnoid hemorrhage (SAH) strongly affects the ability to prevent and treat some of the complications of SAH. Either approach, early or delayed surgery, has pros and cons. This article reviews the numerous factors that play a role in this delicate decision-making process.
UR - http://www.scopus.com/inward/record.url?scp=0031844896&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0031844896&partnerID=8YFLogxK
U2 - 10.1016/s1042-3680(18)30249-3
DO - 10.1016/s1042-3680(18)30249-3
M3 - Article
C2 - 9668185
AN - SCOPUS:0031844896
VL - 9
SP - 541
EP - 548
JO - Neurosurgery Clinics of North America
JF - Neurosurgery Clinics of North America
SN - 1042-3680
IS - 3
ER -