[Neurosurgical therapy of subarachnoid hemorrhage. Microsurgical techniques--early postoperative nimodipine...

With the increasing life expectancy of the general population, the number of geriatric patients with aneurysmatic subarachnoid bleeding consulting the neurosurgeon is also increasing. The possibilities of modern micro-neurosurgery have created a situation that permits craniotomy and aneurysmal clipping in the geriatric patient with an acceptably low level of risk and high probability of high post-operative quality of life. Although a definitive evaluation of perioperative administration of calcium channel blockers in geriatric patients with an aneurysm is not yet possible, experience so far gained points to their positive effect on a more rapid and more pronounced resolution of the post-hemorrhagic impairment of the cognitive performance.