2023 CiteScore: 0.7
pISSN: 0044-6025
eISSN: 1735-9694
Editor-in-Chief:
Ahmadreza Dehpour, PharmD, PhD
This journal is a member of, and subscribes to the principles of, the Committee on Publication Ethics (COPE).
Vol 7, No 1-2 (1964)
Articles
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One method of treating ruptured anterior communicating aneurysms is presented. This permits early clipping through a bifrontal flap. Key branches of the circle of Willis are temporarily occluded by special removable clips before exposing and permanently clipping the aneurysm. This requires the use of hypothermia at 28'0. and other technical aids described. The risk of a fatal recurrent hemorrhage appears to be removed by this method with a reasonable operative mortality (5%) and morbidity (20%) that compare favorably with the mortality rate for un-operated patients of 34% or higher
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Many patients with known angiomata of the brain lead a useful life, and unless it is proved that their life is threatened. or their capacity for work progressively diminishing, do not need removal of the angiomata. In the course of removal of an intracranial hematoma the angioma should be removed if identified. At such a time the removal is easy as the vessels are collapsed. When there is a definite indication for operation, the size ano position of the angioma should not deter the surgeon. Besides and adequate surgical technique, one should utilise all the modern facilities, e.g, hypothermia, hypotension, rapid transfusion and temporary occlusion of main arteries. With proper care the results of operation are gratifying.
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From this short review, immerges a syndrome of the chronic subdural hematoma. The patient is usually an elderly male', with a hisory of moderate or severe trauma to the head incurred about 2 months prionjto admission, with or witout immediate headache which subsides, then recurs lllb6ut two to three weeks prior to admission. The headache becomes severer and the patient may develop a hemiparesis most frequently contralaterally, would become drowsy and may enter coma if not diagnosed and treated early. On examination, he would show dulled mental capacities and possibly papilloedema, with or without a hemiparesis and in one fifth of the cases a peculiar type of disturbance of gait. If there has been waxing and waning of the symptomatology in the past few days. this adds to the completeness of the picture. Although there is a syndrome that caracteriscs cases of subdural hematomas, the picture can be very varied and there is no doubt that the final diagnosis rests with angiography, which shows a typical appearance of an avascular lens shaped area just under tho parietal bone on the AP films or in some cases under the frontal bone in oblique film
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