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Preliminary experience with 150 consecutive cases of ruptured cerebral aneurysms operated on within 48 hours is reported. The rationale of this emergency procedure is to prevent early rerupture and also to prevent neurological ischaemic consequences of the subarachnoid haemorrhage likely to develop in the first week after a rupture. The acceptable outcome of the surgically treated cases (87% excellent and good outcome) has been favourably matched to those of a group of equal number of consecutive cases seen in suitable condition for surgery within 48 hours by medical personnel but that remained unoperated for various reasons. The incidence of delayed neurological ischaemia as the definite cause of death is lower in the group operated on in the acute stage than those with delayed surgery, although the overall incidence of clinical vasospasm does not seem significantly lower than in the delayed surgery group.
J Vajda, and
E Pasztor, and
E Orosz, and
I Nyary, and
J Juhasz, and
M Horvath, and
S Czirjak, and
J Futo
February 1982,
Neurosurgery,
J Vajda, and
E Pasztor, and
E Orosz, and
I Nyary, and
J Juhasz, and
M Horvath, and
S Czirjak, and
J Futo
January 2005,
Acta neurochirurgica. Supplement,
J Vajda, and
E Pasztor, and
E Orosz, and
I Nyary, and
J Juhasz, and
M Horvath, and
S Czirjak, and
J Futo
June 1983,
Obstetrics and gynecology,
J Vajda, and
E Pasztor, and
E Orosz, and
I Nyary, and
J Juhasz, and
M Horvath, and
S Czirjak, and
J Futo
May 1976,
Nihon rinsho. Japanese journal of clinical medicine,
J Vajda, and
E Pasztor, and
E Orosz, and
I Nyary, and
J Juhasz, and
M Horvath, and
S Czirjak, and
J Futo
March 2006,
Zhonghua wai ke za zhi [Chinese journal of surgery],
J Vajda, and
E Pasztor, and
E Orosz, and
I Nyary, and
J Juhasz, and
M Horvath, and
S Czirjak, and
J Futo
January 1988,
Inforum (Adelaide, S. Aust.),
J Vajda, and
E Pasztor, and
E Orosz, and
I Nyary, and
J Juhasz, and
M Horvath, and
S Czirjak, and
J Futo
December 2007,
Arquivos de neuro-psiquiatria,
J Vajda, and
E Pasztor, and
E Orosz, and
I Nyary, and
J Juhasz, and
M Horvath, and
S Czirjak, and
J Futo
June 2001,
British journal of neurosurgery,
J Vajda, and
E Pasztor, and
E Orosz, and
I Nyary, and
J Juhasz, and
M Horvath, and
S Czirjak, and
J Futo
August 1999,
The Thoracic and cardiovascular surgeon,
J Vajda, and
E Pasztor, and
E Orosz, and
I Nyary, and
J Juhasz, and
M Horvath, and
S Czirjak, and
J Futo
July 1999,
Journal of neurosurgical anesthesiology,
