Lebedev V V, Krylov V V
Zh Vopr Neirokhir Im N N Burdenko. 1988 Jul-Aug(4):9-13.
The authors analyse the results of surgical treatment of intracranial hematomas in the acute period of ruptures of arterial aneurysms in 38 patients. The surgical tactics and volume of surgical intervention are determined according to the rate of the clinical manifestations of the hematoma and the severity of the patients' condition. Rupture of the hematoma into the ventricles of the brain and a hematoma more than 60 cm3 in volume are of unfavourable prognostic significance in ruptures of aneurysms attended by the formation of a hematoma. A vascular spasm in the presence of a hematoma is not a dominant factor determining the outcome of the operation.