Search tips
Search criteria 


Logo of jnnpsycJournal of Neurology, Neurosurgery and PsychiatryVisit this articleSubmit a manuscriptReceive email alertsContact usBMJ
J Neurol Neurosurg Psychiatry. 1980 October; 43(10): 879–882.
PMCID: PMC490707

Surgical mortality in an aneurysm population: effects of age, blood pressure and preoperative neurological state.


The mortality of 256 patients surgically treated for ruptured intracranial aneurysms was assessed with regard to age, systemic blood pressure on admission and preoperative neurological state. Increasing age, hypertension, and a poor neurological state (both singly and in combination) were found to influence surgical results dramatically. It is suggested that preoperative treatment of hypertension, and delay of operation in those patients aged over 50 years or hypertensive, as well as waiting for the neurological state to improve prior to operation, may lead to better results.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (504K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Yasargil MG, Fox JL. The microsurgical approach to intracranial aneurysms. Surg Neurol. 1975 Jan;3(1):7–14. [PubMed]
  • Hollin SA, Decker RE. Microsurgical treatment of internal carotid artery aneurysms. J Neurosurg. 1977 Aug;47(2):142–149. [PubMed]
  • Krayenbühl HA, Yaşargil MG, Flamm ES, Tew JM., Jr Microsurgical treatment of intracranial saccular aneurysms. J Neurosurg. 1972 Dec;37(6):678–686. [PubMed]
  • Adams CB, Loach AB, O'laoire SA. Intracranial aneurysms: analysis of results of microneurosurgery. Br Med J. 1976 Sep 11;2(6036):607–609. [PMC free article] [PubMed]
  • BOTTERELL EH, LOUGHEED WM, SCOTT JW, VANDEWATER SL. Hypothermia, and interruption of carotid, or carotid and vertebral circulation, in the surgical management of intracranial aneurysms. J Neurosurg. 1956 Jan;13(1):1–42. [PubMed]
  • Benedict CR, Loach AB. Clinical significance of plasma adrenaline and noradrenaline concentrations in patients with subarachnoid haemorrhage. J Neurol Neurosurg Psychiatry. 1978 Feb;41(2):113–117. [PMC free article] [PubMed]
  • Slosberg PS. Treatment of ruptured intracranial aneurysms by induced hypotension. Mt Sinai J Med. 1973 Jan-Feb;40(1):82–90. [PubMed]
  • Post KD, Flamm ES, Goodgold A, Ransohoff J. Ruptured intracranial aneurysms. Case morbidity and mortality. J Neurosurg. 1977 Mar;46(3):290–295. [PubMed]

Articles from Journal of Neurology, Neurosurgery, and Psychiatry are provided here courtesy of BMJ Publishing Group