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EVALUATION OF THE RESULTS OF DECOMPRESSIVE CRANIECTOMY, HEMATOMA REMOVED, CLIPPING TREATMENT FOR RUPTURED MIDDLE CEREBRAL ARTERY ANEURYSMS WITH INTRACEREBRAL HEMATOMAS
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Abstract
Objective: Evaluation of the results of decompressive craniectomy, hematoma removed, clipping treatment for ruptured middle cerebral artery aneurysms with intracerebral hematomas. Subjects and methods: Retrospective study of 42 patients diagnosed with ruptured middle cerebral artery aneurysm with intracerebral hematomas and treated with surgery at 103 Military Hospital from 2020 to 2022. Results: The mean age of the patients was 53,1 ± 13,8; female/male=1,8; aneurysm size and intracerebral hematomas volume averaged was 19.4mm and 40.5ml, respectively; 19.1% had complications post of operative, 4.8% had residual aneurysms, good results after 12 months of surgery reached 61.9%. Conclusion: Decompressive craniectomy, hematoma removed, direct clipping treatment for severe preoperative clinical cases, large aneurysms size and intracerebral hematomas have relatively good results, reducing postoperative mortality. Keywords: Decompressive craniectomy, clipping, intracerebral hematoma, ruptured middle cerebral artery aneurysm.
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