Timing of Aneurysm Surgery

Neal F. Kassell; Charles G. Drake

doi:10.1227/00006123-198204000-00019

April 1, 1982Neurosurgery

Timing of Aneurysm Surgery

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Key Points

To evaluate the clinical trade-offs and rationale regarding the timing of surgical intervention following aneurysmal subarachnoid hemorrhage.
Narrative synthesis of historical operative trends and clinical outcomes associated with ruptured intracranial aneurysms in North America.
Evaluation of modern microsurgical and anesthetic advances relative to traditional delayed surgical protocols.
Most morbidity and mortality occur within the first one to two weeks following subarachnoid hemorrhage due to rebleeding and vasospasm.
Delayed surgery performed after two weeks improves individual operative survival statistics but fails to decrease overall population-level mortality because early non-surgical attrition remains high.
Contemporary early microsurgical repair within days of rupture yields encouraging preliminary outcomes, though multicenter cooperative trial verification is required before widespread adoption.

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Implication

Clinical review demonstrates the challenge of surgical timing in aneurysmal subarachnoid hemorrhage, indicating early repair may avert rebleeding and vasospasm.

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Cite This Study

Kassell et al. (1982) studied this question.

synapsesocial.com/papers/6a12b5d84891eb3ecca42b04 https://doi.org/10.1227/00006123-198204000-00019

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Timing of Aneurysm Surgery

Key Points

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Implication

Discussion

Cite This Study

Timing of Aneurysm Surgery

Key Points

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Implication

Discussion

Cite This Study

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