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Recurrent Hemorrhage in Patients with Previous Surgery for Cerebral Aneurysms

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Affiliated Author(s)
임만빈이창영이장철손은익김동원김인홍
Alternative Author(s)
Yim, Man BinLee, Chang YoungLee, Jang ChullSon, Eun IkKim, Dong WonKim, In Hong
Journal Title
Surgery for Cerebral Stroke
ISSN
0914-5508
Issued Date
1998
Keyword
cerebral aneurysmgrowthde novorecurrent hemorrhagesurgery
Abstract
Summary: Among 875 patients with intracranial aneurysm operated on during the past 14 years, the
authors encountered eleven who had experienced recurrent hemorrhage caused by the rupture of
aneurysms which had not been noticed at the time of the initial operation. The age at the time of
initial hemorrhage was relatively young (average 43.7 years), and the interval between initial and
recurrent hemorrhage varied between 4 and 16 years. Multiple aneurysms occurred in four cases and
hypertension in four others.
Clinical grades at the time of the second admission were relatively poor, and in eight patients there
were complications with intracerebral hematomas, intraventricular hemorrhages or acute subdural
hematoma. Retrospective evaluation of the first angiograms disclosed tiny aneurysms in five cases,
and these grew and ruptured at recurrent hemorrhage. In eight patients, the outcome was good; one
remained moderately disabled, and two died.
We conclude that the possibility of recurrent hemorrhage after the clipping of a ruptured aneurysm
should be considered in all aneurysmal patients, especially in those who are young or have multiple
aneurysms or hypertension. Their angiograms should be investigated detailly to determine whether
or not suspicious tiny aneurysms are present. In addition, late postoperative follow-up angiography
to determine the growth or development of another aneurysm might also be needed.
Key words:
・cerebral aneurysm
・growth
・de novo
・recurrent hemorrhage
・surgery
Surg Cereb Stroke
Department
Dept. of Surgery (외과학)
Publisher
School of Medicine
Citation
Man-Bin YIM et al. (1998). Recurrent Hemorrhage in Patients with Previous Surgery for Cerebral Aneurysms. Surgery for Cerebral Stroke, 26(3), 158–163. doi: 10.2335/scs1987.26.3_158
Type
Article
ISSN
0914-5508
DOI
10.2335/scs1987.26.3_158
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/34438
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Surgery (외과학)
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