Meyer F, Sandvoss G
Department of Neurological Surgery, Ludmillenstift Hospital, Meppen, Germany.
Zentralbl Neurochir. 1997;58(2):66-70.
Five cases of subdural hematoma due to aneurysm rupture and their surgical treatment are reviewed. One patient recovered completely, one was severely disabled and 3 patients died. The literature regarding subdural hematomas associated with nontraumatic aneurysm rupture is reviewed and our therapeutical strategy is discussed. We conclude that severe neurological deficit and uncal herniation can be reversible if surgery is performed early.
回顾了5例因动脉瘤破裂导致的硬膜下血肿及其手术治疗情况。1例患者完全康复,1例严重残疾,3例患者死亡。对与非创伤性动脉瘤破裂相关的硬膜下血肿的文献进行了回顾,并讨论了我们的治疗策略。我们得出结论,如果早期进行手术,严重的神经功能缺损和钩回疝可能是可逆的。