By Priv.-Doz. Dipl.-Psych. Dr. phil. B. O. Hütter (auth.)
The information approximately varied aneurysm destinations given within the current paintings in actual fact exhibit that the standard and the severity of the neuropsycho logical impairments after subarachnoid hemorrhage are particularly depending on the anatomical situation and volume of the bleeding. moreover, the occasionally inevitable transitority clipping of perforating vessels turns out to play an important position with admire to later neuropsychological disturbances. on account that glossy aneurysm surgical procedure is played within the acute section almost immediately after the hemorrhage, the findings suggested within the current paintings are, based on my opinion, of specific relevance. within the mild of the current in depth dialogue in regards to the indication for microneurosurgical clipping or neuroradiological interventional coiling of intracranial aneurysms, the implications given right here in by way of B. O. Hutter could be considered as a controversy for the surgical intervention, particularly as the extravasated blood can basically be cleared through surgical procedure. for this reason, this booklet can be an notion for the neurosurgical reader for a more in-depth collaboration with psychologically expert scientists. this can be very important for all intracranial tactics and never just for the subject of subarachnoid hemorrhage lined by way of this book.
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Additional info for Neuropsychological Sequelae of Subarachnoid Hemorrhage and its Treatment
In extreme cases, the selected trait may only be present coincidentally in a single patient of a certain diagnostic group. This danger is present even more so if the clinical and neuroradiological documentation of the patient is incomplete or even erroneous. Therefore, generalized conclusions, drawn from the findings of case studies and applied to a population of patients suffering from a certain illness are not warranted and, moreover, are associated with the risk of misleading interpretations.
1960). tissue, also called "coating". This procedure, too, did not prove to be a success (Ogilvy and Poletti, 1991). , 1987; Drake, Friedman and Peerless, 1984; Drake and Vanderlinden, 1967). Beadles (1907) reported that already in 1885 Sir Victor Horsley attempted to eliminate intracranial aneurysms by means of ligature of the internal carotid artery (lCA). During one operation, he retracted both frontal lobes to discover an aneurysm of the skull base, that compressed the optic chiasm and produced visual disturbances.
1981). Also, according to the results of Gilsbach et al. (I988a), the operative results of early aneurysm surgery in comparison to historical data led to the conclusion that inspite of the perhaps worse technical conditions, early surgery does not have a higher operative mortality and morbidity than late surgery. , 1987; Gilsbach and Eggert, 1983). The preferred operative approaches for aneurysms of the MCA and ICA are usually fronto-temporal, so-called pterional approaches (Yasargil, 1984). For aneurysms of ACoA interhemispheric as well as pterional approaches are used (Weir, 1993).