Outcome of Early Versus Late Operated Patients Due to Subarachnoid Hemorrhage from Ruptured Intracranial Aneurysm

Abstract

Abstract Introduction. Subarachnoid hemorrhage is unfortunately the most common manifestation of intracranial aneurysms. Methods. Very frequently there is a dilemma on whether patient should be operated on early i.e. in the first 72 hours or late i.e. two weeks after the bleeding. Many factors influence this decision, some of them being neurological condition at admission, age of the patient, eventual compressive intracerebral hematoma. We present our experiences in treatment and decision making of these patients as well as the outcome of early versus late surgically treated patients. Results. Patients were divided in five groups according to the grade of neurological condition on admition. Within each group statistical analysis was conducted to compare early versus late surgery. Results have show difference within each group of patients. Conclusion. In our study, patients that have been admitted in good clinical condition and operated on early had better outcome than patients operated late.