Surgical treatment of intracranial aneurysms in acute period of hemorrhage in Hunt-Hess grade IV-V patients at Burdenko Neurosurgical Center between 2006 and 2020.

Background: Management of patients in acute period of aneurysmal subarachnoid hemorrhage HuntHess grade IV-V is still a complex and unsolved problem, especially regarding surgical treatment and various complications.

Objective: To analyze postoperative outcomes in patients undergoing surgery in acute period of aneurysmal subarachnoid hemorrhage HuntHess grade IV-V between 2006 and 2020, as well as to assess various factors influencing treatment outcomes.

Material And Methods: We analyzed 163 patients who underwent surgery within 21 days after aneurysmal subarachnoid hemorrhage HuntHess grade IV-V.

[Unruptured asymptomatic brain aneurysms: modern approaches to the choice of surgical method and treatment outcomes].

Background: In recent years, significant attention has been paid to preventive vascular neurosurgery. Treatment of unruptured asymptomatic brain aneurysms is one of the sections of this surgery.

Objective: To evaluate treatment outcomes in patients with unruptured asymptomatic brain aneurysms who underwent treatment chosen on the basis of criteria adopted at the Burdenko Neurosurgery Center.

[Surgical treatment of vertebral artery confluence aneurysms].

Background: Aneurysms of vertebral artery confluence and proximal parts of basilar artery are extremely rare. They are usually combined with proximal fenestration of basilar artery. No timely surgical treatment of these aneurysms is associated with high risk of adverse outcomes, and their treatment is a challenge for neurosurgeons.

Treatment of postoperative vasospasm with intraarterial verapamil after removal of intracranial tumor: patient series.

Background: The authors report on four clinical cases with intraarterial verapamil administration to resolve vasospasm in patients who underwent surgery for intracranial tumors. Iatrogenic subarachnoid hemorrhage after tumor resection and subsequent vasospasm (an increase in the systolic linear velocity of blood flow through the M1 segment of the middle cerebral artery of more than 250 cm/sec; Lindegaard index: 4.1) were observed in four patients during the early postoperative period after the removal of intracerebral tumors.

[Surgical treatment of patients with cerebral aneurysms in the acute stage of rupture: dynamics of results during 2006-2018].

Unlabelled: Treatment of cerebral aneurysms in the acute stage of subarachnoid hemorrhage (SRH) especially on the background of cerebral vasospasm continues to be a difficult task.

Objective: Assessment of dynamics of the surgical treatment results of patients with cerebral aneurysms in acute period of SRH.

Material And Methods: A comparative analysis of the results of patients' surgical treatment in NMRCN Burdenko about aneurysm in 1-21 days after hemorrhage was made.