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Methods of Treatment; Value of Hypothermia in the Surgical Approach

EBEN ALEXANDER, JR., M.D.; COURTLAND H. DAVIS, JR., M.D.; NANCY C. KESTER, M.D.

A.M.A. Arch Neurol Psychiatry. 1959;81(6):684-692.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The proper management of intracranial arterial aneurysms has been the object of considerable controversy. In an effort to evaluate various methods of treatment, we have compared the results of these methods in 115 patients treated under similar conditions by the same surgeons. Before the evolution of modern neurosurgical techniques, intracranial aneurysms were curiosities, usually discovered at autopsy. In 1923 Symonds'¹ presentation of the criteria for the diagnosis of a ruptured intracranial aneurysm gave impetus to further study of this subject. Richardson and Hyland,² Walsh and King,³ Dandy,⁴ and numerous others have contributed much to the increasing frequency of diagnosis and successful treatment of aneurysms. Recently a more complete study by Hamby⁵ has brought the entire subject into focus with a survey of the previous publications and an analysis of his own material.

The mortality rate of ruptured intracranial aneurysms is known to be high, ranging . . . [Full Text PDF of this Article]

Author Affiliations
Winston-Salem, N. C

From the Section of Neurosurgery, Department of Surgery, Bowman Gray School of Medicine of Wake Forest College.

Footnotes
Accepted for publication Aug. 14, 1958.

Presented at the 19th Annual Meeting of the American Academy of Neurological Surgery, Nov. 11-13, 1957, Sea Island, Ga.