Acute evacuation of 54 intracerebral hematomas (aICH) during the microsurgical clipping of a ruptured middle cerebral artery bifurcation aneurysm-illustration of the individual clinical courses and outcomes with a serial brain CT/MRI panel until 12 months.
Anniina H AutioJuho PaavolaJoona TervonenMaarit LångAntti-Pekka ElomaaTerhi J HuuskonenJukka HuttunenVirve KärkkäinenMikael von Und Zu FraunbergAntti E LindgrenTimo KoivistoJouni KurolaJuha E JääskeläinenOlli-Pekka KämäräinenPublished in: Acta neurochirurgica (2024)
Regarding aICH evacuations, serial brain CT/MRI panels present more information than words, figures, and graphs. Re-bleeds associated with larger aICH volumes and worse outcomes. Swift logistics until the sIA occlusion with aICH evacuation is required, also in duty hours and weekends. Intraoperative CT is needed to illustrate the degree of aICH evacuation. PHE may evoke uncontrollable intracranial pressure (ICP) in spite of the acute aICH volume reduction.
Keyphrases
- contrast enhanced
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- subarachnoid hemorrhage
- cerebral ischemia
- functional connectivity
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