Why the study?
Does intracranial surgery for aneurysms have similar tolerance in patients over 60 compared to younger patients?
Does intracranial surgery for aneurysms have similar tolerance in patients over 60 compared to younger patients?
Intracranial surgery for anterior circulation aneurysms is well tolerated in good-risk patients over 60, whereas posterior circulation aneurysms carry higher risk.
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Supports considering age and location in aneurysm surgery decisions; leaves open need for prospective validation before practice change.
The purpose of this paper is to examine how well (or poorly) patients past the age of 60 tolerate intracranial surgery for aneurysms in all locations. The records of 93 consecutive good risk patients (Botterell Grades 1 and 2) have been reviewed. Co-existing chronic medical conditions, e.g., hypertension, were ignored in patient grading. The results indicate that, for treatment of aneurysms on the anterior circulation, older patients tolerate intracranial procedures as well as younger patients. This is not true for operations upon posterior circulation aneurysms. Some possible reasons for this discrepancy are suggested.
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Amacher et al. (1977) studied this question.
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