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October 11, 1976

Intracranial Surgery for Cerebral Artery AneurysmsFive Years' Experience

Author Affiliations

From the departments of neurology (Dr Kaufman) and neurosurgery (Dr Tabaddor), Montefiore Hospital and Medical Center, and the Albert Einstein College of Medicine, Bronx, NY.

JAMA. 1976;236(15):1707-1710. doi:10.1001/jama.1976.03270160029024

During the previous five years, there were 133 cases of intracranial surgery for cerebral artery aneurysms. For patients with aneurysms in the anterior circulation and in good preoperative condition, the surgical morbidity was 28% and the mortality was 19%. A depressed sensorium preoperatively, an age of 50 years or above, and an interval of less than 15 days from rupture to surgery were associated with markedly increased mortality. The results of this series, which do not compare favorably with those from foreign referral centers, are partially the result of disproportionate numbers of patients in those poor-risk groups. The possible advantages of regionalization are, nevertheless, apparent. Further comparative studies should be conducted on an interinstitutional basis.

(JAMA 236:1707-1710, 1976)