Surgical treatment for patients of poor grade aneurysmal subarachnoid hemorrhage and respiratory depression

Abstract

Objective To evaluate the clinical strategy and effects of microsurgery for patients of poor grade aneurysmal subarachnoid hemorrhage and respiratory depression.Methods The data of 7 patients from April 2003 to November 2009 were retrospectively analyzed.Urgent microsurgery after pulmonary resuscitation were performed in all patients.Glasgow Outcome Scale (GOS) was used for postoperative evaluation of neurological function.Results 7 aneurysms of 7 patients were all clipped.The follow - up results (6 months after surgery) revealed good outcome in 2 cases,mild disability in 3,severe disability in 1and 1 death.Conclusions It is feasible to perform surgical treatment for poor grade aneurysm patients in acute stage even though the patient is complicated with respitatory depression.Tracheal intubation promptly,external ventricular drainage and decompressive craniectomy could help to improve the outcome of patient. Key words: Subarachnoid hemorrhage, aneurysmal ; Microsurgery ; Respiratory depression ; Poor grade