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Academia Mexicana de Neurología, A.C.

2007, Number 6

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Rev Mex Neuroci 2007; 8 (6)

Urgent surgical treatment of middle cerebral artery aneurysm associated to intracerebral hematoma

Gelabert GM, García AA

Language: Spanish
References: 31
Page: 544-549
PDF size: 117.01 Kb.


ABSTRACT

Introduction: Patients with hematoma secondary to middle cerebral artery aneurysm require urgent surgical treatment consisting of evacuation of the hematoma and aneurysmal clipping. Patients: In this retrospective study, the surgical outcome of 24 patients with Intracerebral hematomas due to rupture of middle cerebral artery aneurysm was analyzed. Results: All patients had a score of 3 to 5 on the scale of the World Federation of Neurosurgical Societies (WFNS). In 15 cases the hematoma was located in temporal lobe and 9 had an intrasylvian hematoma. Outcome scores were worse in patients presented with poor neurological status, anisocoria, hematomas large 50 cc and patients with obliteration of the cisterns surrounding brain stem. Conclusions: Patients with ruptured middle cerebral artery aneurysm associated with Intracerebral hematomas (temporal or sylvian) can lead to rapid deterioration and require urgent surgical management.


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