THE CONTINUOUS VENTRICULAR DRAINAGE TO LEVEL UP THE GRADE OF THE PATIENT OF RUPTURED INTRACRANIAL ANEURYSM Jiro Suzuki 1 , Takashi Yoshimoto 1 1Division of Neurosurgery, Institute of Brain Diseases, Tohoku University School of Medicine pp.1293-1301
Published Date 1972/10/1
DOI https://doi.org/10.11477/mf.1406203199
  • Abstract
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According to the investigation of our series of 385 cases of the direct surgery of intracranial aneurysms, we have reported our policy about the decision of the timing of direct surgery after the last SAH, that the direct operation should be performed for ruptured aneurysm, even though the patient has severe vasospasm, if he is neither in coma nor in a down hill course of consciousness, even within one week after the SAH. However it seems that the extension of indication of direct operation for the ruptured intracranial aneurysms is our duty as a neurosurgeon. Recently, weapplied the continuous ventricular drainage to 13 severe patients in the acute stage of SAH. 10 cases of them improved in their clinical condition after continuous ventricular drainage. The intra-cranial direct surgery within three weeks after the last attack were performed in 11 cases of 13 cases and its death in hospital was only one.

After all, continuous ventricular drainage to thesevere patients in the acute stage after SAH, who were excluded from the surgical indication up to now, was very effective to level up the grade of patient's consciousness.

The clinical courses of those 13 cases were report-ed and the indication for the procedure of conti-nuous ventricular drainage was discussed.

Copyright © 1972, Igaku-Shoin Ltd. All rights reserved.


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