AI Article Synopsis

  • The study examined patients with subarachnoid hemorrhages at Royal Perth Hospital between 1971 and 1979, focusing on the impact of preoperative treatments.
  • Patients given epsilon-aminocaproic acid experienced a significantly lower rebleed rate of 2.3% compared to 19.7% in control patients.
  • Although kanamycin and reserpine showed higher rates of preoperative cerebral vasospasm (32% vs. 26% in controls), they were beneficial in reducing postoperative complications related to vasospasm.

Article Abstract

Patients suffering from a subarachnoid hemorrhage who were admitted to the Neurosurgical Unit of the Royal Perth Hospital during the period 1971 to 1979 were assessed with regard to the effectiveness of preoperative treatment with epsilon-aminocaproic acid, kanamycin, and reserpine. Forty-two patients who were treated with epsilon-aminocaproic acid had a rebleed rate of 2.3% compared to 1 9.7% rebleed rate in appropriately selected controls. Patients treated with kanamycin and reserpine had a preoperative cerebral vasospasm rate of 32% compared to a 26% rate in controls; however, kanamycin and reserpine were found useful for decreasing the postoperative complications of cerebral vasospasm.

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http://dx.doi.org/10.1016/0090-3019(82)90271-3DOI Listing

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