Ruptured intracranial saccular aneurysm. Conduct to apply before direct surgical intervention (stabilization of arterial pressure with diazepam
Pertuiset, B.; Lienhart, A.; Rosa, A.; Goutorbe, J.; Ahmed, A.
La Nouvelle Presse Medicale 10(1): 37-39
1981
ISSN/ISBN: 0301-1518 PMID: 7465340 Document Number: 180093
The 250 patients of this series, whatsoever was the location of the aneurysm, were operated radically on the 6th and 7th day following the rupture. That is to say at the end of the brain swelling period and before the rebleeding period. During these 5 or 6 days the blood pressure was stabilized by a daily intake of diazepam (15 to 30 millig); 10% only of the patients were resistant; in these cases clonidine was used. During this period antifibrinolitic agents were not given as well as antioedematous therapy. No case of rebleeding was observed in this series under this therapy.