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OBJECT: The aim of this study was to evaluate the efficacy of a treatment combination of coil embolization and clot evacuation in patients presenting with an intracerebral hematoma (ICH) caused by the rupture of an aneurysm. METHODS: Twenty-seven patients were prospectively recruited in this study between 1996 and 2000. Endovascular treatment of the putative ruptured aneurysm was performed as soon as practical after diagnosis and before surgical evacuation of the ICH. The Glasgow Outcome Scale (GOS) was used during follow up. Despite admission World Federation of Neurosurgical Societies grades of IV or V in 25 patients (92%), 13 (48%) recovered well with GOS scores of 1 or 2, whereas six patients (21%) died. CONCLUSIONS: The combined result of a favorable outcome in 48% of the patients and a mortality rate of 21% indicates that this treatment may be a valuable alternative for this patient group and warrants further study.

Original publication

DOI

10.3171/jns.2003.99.5.0843

Type

Journal article

Journal

J Neurosurg

Publication Date

11/2003

Volume

99

Pages

843 - 847

Keywords

Adult, Aged, Aged, 80 and over, Aneurysm, Ruptured, Cerebral Angiography, Cerebral Hemorrhage, Combined Modality Therapy, Drainage, Embolization, Therapeutic, Female, Glasgow Outcome Scale, Hematoma, Humans, Intracranial Aneurysm, Male, Middle Aged, Prospective Studies, Tomography, X-Ray Computed