Prediction of recurrent hemorrhages from ruptured arterial aneurysms in the acute period
Lebedev, V.V.; Kholodov, S.A.; Platonova, T.K.; Shelkovskiĭ, V.N.; Krylov, V.V.
Zhurnal Nevropatologii i Psikhiatrii Imeni S.S. Korsakova 86(9): 1281-1284
1986
ISSN/ISBN: 0044-4588 PMID: 3776404 Document Number: 272434
In a series of 61 patients the authors studied the effect of some risk factors on the development of recurrences of haemorrhage from arterial aneurysms of cerebral vessels in the acute period of their rupture. The highest risk of recurrences was associated with an elevated fibrinolytic activity of the cerebrospinal fluid, spasm of the cerebral vessels, aneurysms of the anterior connective and internal carotid arteries as well as the patients' grave condition. Consideration of these factors makes it possible to specify the indications for surgical or conservative treatment. Antifibrinolytic therapy conducted in 5 patients with elevated fibrinolytic activity of the spinal fluid elicited good response.