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Intracranial aneurysms.

W R Henderson, D A Mehta

    British Medical Journal
    |April 7, 1973
    PubMed
    Summary
    This summary is machine-generated.

    Recognizing severe cerebral spasm and large brain hematomas in ruptured intracranial aneurysms is crucial for treatment. Early observation is key, as spasm and re-bleeding risks vary in the first three weeks post-hemorrhage.

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    Area of Science:

    • Neurosurgery
    • Neurology
    • Vascular Neurology

    Background:

    • Ruptured intracranial aneurysms pose significant risks, including vasospasm and re-hemorrhage.
    • Timely diagnosis and intervention are critical for patient outcomes.

    Purpose of the Study:

    • To re-evaluate case histories of patients with ruptured intracranial aneurysms.
    • To emphasize the clinical recognition of severe vasospasm and large cerebral hematomas.

    Main Methods:

    • Review of case histories of patients diagnosed with ruptured intracranial aneurysms.
    • Clinical observation and analysis of patient symptoms and timing of events.

    Main Results:

    • Severe vasospasm contraindicates early angiography.

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  • Large cerebral hematomas necessitate immediate surgical evacuation.
  • Recurrent episodes within 10 days are often due to vasospasm; re-hemorrhage is more common in weeks 2-3.
  • Distinctive signs for spasm or hematoma were often absent.

    • Conclusions:

    • Clinical recognition of severe vasospasm and large cerebral hematomas is vital for managing ruptured intracranial aneurysms.
    • Careful observation from the day of hemorrhage aids in differentiating early spasm from later re-bleeding events.