Risk of bleeding from unruptured aneurysm in cases with multiple intracranial aneurysms.

Abstract:

:The author presents a follow-up review of 61 patients with subarachnoid hemorrhage (SAH) and at least two intracranial artery aneurysms in whom only the ruptured aneurysm had been clipped. During a 10-year follow-up period, seven patients bled from a previously unruptured aneurysm; four of the hemorrhages were fatal. Three additional patients suffered fatal bleeding more than 10 years after the first SAH. The surgical mortality rate when operating on a ruptured aneurysm at this clinic was 4.2% in 1979. Considering that the mortality rate after rebleeding during an average follow-up period of 16 years was 11.5%, operation for unruptured aneurysms seems to have a slight edge over conservative treatment.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

Heiskanen O

doi

10.3171/jns.1981.55.4.0524

subject

Has Abstract

pub_date

1981-10-01 00:00:00

pages

524-6

issue

4

eissn

0022-3085

issn

1933-0693

journal_volume

55

pub_type

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