Yuri N. Zubkov

Russian Scientific Research Neurosurgical Institute

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Robert R. Smith

University of Florida

Yahgoub Tarassoli

University of Mississippi Medical Center

George Benashvili

University of Mississippi Medical Center

Lydia Alexander

Fairfield General Hospital

Lon F. Alexander

University of Mississippi Medical Center

Vladimir Semenyutin

Federal Almazov North-West Medical Research Centre

V. A. Shustin

Pavlov Institute of Physiology of the Russian Academy of Sciences

David H. Bernanke

Medical University of South Carolina

B M Nikiforov

Russian Scientific Research Neurosurgical Institute

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University of Mississippi Medical Center

Russian Scientific Research Neurosurgical Institute

Federal Almazov North-West Medical Research Centre

Ministry of Health of the Russian Federation

Pavlov Institute of Physiology of the Russian Academy of Sciences

St.Petersburg V.M.Bekhterev Psychoneurological Research Institute

Medical University of South Carolina

State Street (United States)

Jackson Memorial Hospital

Massachusetts General Hospital

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Treatment of patients with intracranial arterial aneurysms in the haemorrhagic period

Neurological Research (1994)

Yuri N. Zubkov

AbstractOur research protocol was implemented in the treatment of 395 patients in the acute period following aneurysmal subarachnoid haemorrhage. Patients are classified as follows: Compensated (roughly Hunt and Hess l-ll); Subcompensated (Hunt and Hess III); and Decompensated (Hunt and Hess IV-V). Only patients in the compensated state are deemed candidates for acute surgery. Patients presenting in the subcompensated or decompensated state undergo aggressive supportive treatment. Vasospasm is treated with balloon angioplasty as soon as the diagnosis is made; early interdiction of this process lowers the risk of neurologic deficit A complex regimen of antifibrinolytic therapy is instituted; rebleeding rates have been reduced by 50% using a combination of heparin and aminocaproic acid. Ventriculostomy is performed in all decompensated patients. All intracranial haematomas with evidence of mass effect are immediately evacuated. Patients undergo craniotomy for aneurysm when their condition stabilizes in compensated state. [Neurol Res 1994; 16: 6-8]Key Words: Intracranial aneurysmssubarachnoid haemorrhagevasospasm

Ventriculostomy

Antifibrinolytic

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10.1080/01616412.1994.11740181

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Citations (10)

The History of Aneurysm Surgery

Springer eBooks (1994)

Robert R. Smith Yuri N. Zubkov Yahgoub Tarassoli

Posterior communicating artery

10.1007/978-1-4613-9532-4_1

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