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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.

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