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  • Title: [Should the aneurysms of Osler's disease be investigated and operated on prior to hemorrhage?].
    Author: Stilhart B, Aboulker J, Khouadja F, Robine D, Ouahes O, Redondo A.
    Journal: Neurochirurgie; 1986; 32(5):410-7. PubMed ID: 3808168.
    Abstract:
    Neurologic accidents are today the first cause of mortality following bacterial endocarditis through ischemia or mycotic aneurysm rupture. Authors propose a protocol management by complete cerebral angiography and CT scan as soon as the least neurologic sign appears. A headache is the most frequent of these signs. 35 patients were explored during 3 years and 10 treated surgically. These authors conclude that: mycotic aneurysm must be detected aneurysm with subarachnoid haemorrhage must be operated on as soon as possible. With unruptured aneurysm, surgical decision is more difficult: sequential angiography after excision of the most dangerous aneurysm, demonstrates that an aneurysm can appear, enlarge, diminish or spontaneously resolve. Carrying on with this protocol should allow an answer to this question.
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