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Pubmed for Handhelds

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  • Title: Risk of bleeding from unruptured aneurysm in cases with multiple intracranial aneurysms.
    Author: Heiskanen O.
    Journal: J Neurosurg; 1981 Oct; 55(4):524-6. PubMed ID: 7277000.
    Abstract:
    The author presents a follow-up review of 61 patients with subarachnoid hemorrhage (SAH) and at least two intracranial artery aneurysms in whom only the ruptured aneurysm had been clipped. During a 10-year follow-up period, seven patients bled from a previously unruptured aneurysm; four of the hemorrhages were fatal. Three additional patients suffered fatal bleeding more than 10 years after the first SAH. The surgical mortality rate when operating on a ruptured aneurysm at this clinic was 4.2% in 1979. Considering that the mortality rate after rebleeding during an average follow-up period of 16 years was 11.5%, operation for unruptured aneurysms seems to have a slight edge over conservative treatment.
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