Clinical Analysis of Outcome for Ruptured Intracerebral Aneurysm with Hematoma

ABSTRACT

This author analysed 34 cases of aneurysmal rupture which had a hematoma in ventricle, intracerebral and subdural space except subarachnoid space. All the patient had been treated in Chonbuk National University Hospital from Aug. 1. 1984 to Aug. 30. 1990. Among the 34 cases, 24 cases were treated with surgery and 10 cases conservatively. The result of operation showed favorable outcome(Good recovery, Moderately disabled);8 cases(33.3%) and unfavorable(severely disabled, vegetative state);5 cases(20.8%). Mortality rates were 70%(7/10) in nonoperative cases and 45.8%(11/24) in operative cases. The data for 34 cases were correlated with outcome by using Chi-square test and t-test. Mortality and morbidity were increased in patients with hypertension, poorer clinical grades at the time of admission or surgery, larger amounts of intracranial hematoma, and older age. From the overall results, the removal of hematoma and simultaneous clipping aneurysmal neck is necessary to obtain a good outcome.