Management of 136 consecutive supratentorial berry aneurysms

Abstract

Cases (103) admitted to several hospitals with a recently ruptured supratentorial aneurysm were medically managed by antifibrinolytic medication, and, when applicable, by hypotension, intracranial pressure control and respiratory support. Nine patients deteriorated and died, and 6 rebled and died before they were judged fit for surgical treatment. Four were treated by carotid occlusion. Nine, because of refusal or medical judgment, did not have surgical treatment. Of these patients, 69 and 33 more underwent craniotomy. In these 102 patients, there was no mortality; 7 developed postoperative hemiparesis or hemiplegia, 6 recovered and 1 had a residual monoparesis.