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001-es BibID:	BIBFORM058427
Első szerző:	Deruty, R.
Cím:	L'anévrysme intracánien rompu modulation de la chirurgie en fonction de l'état de consience et de l'age du patient : Expérience personelle sur 468 patients admis au cours de périodes (1972-1984 et 1985-1989) = Ruptured intracranial aneurysm. Modification of the surgical method based on the state of consciousness and age of patients. Personal experience with 468 patients admitted during 2 periods (1972-1984 and 1985-1989) / Deruty R., Mottolese C., Pelissou-Guyotat I., Bognar L., Oubouklik A.
Dátum:	1999
ISSN:	0028-3770
Megjegyzések:	The management of the ruptured intracranial aneurysm (clinical grade I to IV only) is studied in a series including 140 patients admitted from 1985 through 1989, in which selected patients were submitted to early surgery and other patients were postponed for delayed surgery. The results are compared to those of an earlier series including 328 patients admitted from 1972 through 1984, for which the general attitude was the delayed surgery: in the later series; the selection for the timing of surgery was based on two main parameters: the clinical status and the patient's age. When we compare both series, the overall management results demonstrate an improvement of 10% of satisfactory results and a decrease of 10% in the death rate in favour of the later series; for the surgical results, the figures are respectively 6% and 5% in favour of the later series. The relationship between age and outcome shows a considerable improvement: over 50 years of age, we observed plus 25% of satisfactory results and minus 22% in death in favour of the later series. Similarly, the relationship between state of consciousness and outcome, demonstrated a great improvement: for drowsy and stuporous patients the figures are respectively plus 22% and minus 21% in favour of the later series. When we consider the later series alone, the patients were admitted at 4 intervals of time from S.A.H. (D0-3, D4-6, D7-15, D16 and over). The most favorable outcome was observed for those patients admitted late (after D7) and already stabilized.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:	Neurochirurgie. - 38 : 1 (1999), p. 9-17. -
További szerzők:	Mottolese, C. Pelissou-Guyotat, I. Bognár László (1958-) (idegsebész, gyermekidegsebész) Oubouklik A.
Internet cím:	Intézményi repozitóriumban (DEA) tárolt változat
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001-es BibID:	BIBFORM058413
Első szerző:	Deruty, R.
Cím:	Surgical management of unruptured intracranial aneurysms. Personal experience with 37 cases and discussion of the indications / Deruty R., Pelissou-Guyotat I., Mottolese C., Bognar L., Oubouklik A.
Dátum:	1992
Megjegyzések:	The authors report a series of 37 cases of unruptured aneurysms, admitted and operated upon over a 5 year period (1985-1990), which represents an incidence of 18% of the total number of aneurysm patients operated upon during this period. These unruptured aneurysms were discovered in 4 types of circumstances: 1) Associated with a ruptured aneurysm but treated in a second procedure (9 cases); 2) After a transient ischaemic attack (6 cases); 3) After a cerebral haemorrhage of a different origin (3 cases), 4) After the onset of various neurological symptoms other than SAH (19 cases). Giant aneurysms (over 2.5 cm in diameter) are excluded from this series. Overall these 37 patients harboured 52 aneurysms, and 1 patient was operated upon on both sides. 27 aneurysms (52%) were located on the right side, 15 (29%) on the left side, and 10 (19%) on the midline. In the immediate post operative period, 1 patient died (2.6%) and 8 patients (21%) presented various complications. The outcome at 6 months was: death 2.6%, moderately disabled 8%, good recovery 89%. The arguments in favour of, or against, the surgical treatment of unruptured aneurysms are discussed in view of the literature. In favour of prophylactic surgery are: 1) The rather poor overall outcome following aneurysm rupture (including deaths before admission); 2) The rather good outcome of surgery in published series of unruptured aneurysms. The data of the natural history of the unruptured aneurysm are more questionable: in this view, surgery seems to be recommended in young patients with an easily accessible aneurysm and being in a good clinical condition.
Tárgyszavak:	Orvostudományok Klinikai orvostudományok idegen nyelvű folyóiratközlemény külföldi lapban
Megjelenés:	Acta Neurochirurgica (Wein). - 119 : 1-4 (1992), p. 35-41. -
További szerzők:	Pelissou-Guyotat, I. Mottolese, C. Bognár László (1958-) (idegsebész, gyermekidegsebész) Oubouklik A.
Internet cím:	Intézményi repozitóriumban (DEA) tárolt változat
Borító:
Saját polcon: