DETERMIATION OF PRESCRIPTIONS TO SURGICAL TREATMENT OF ARTERIAL ANEURYSMS OF THE BRAIN IN ACUTE PERIOD OF SUBARACHNOIDAL HEMORRHAGE
Over the last years there has been growth in the number of operations in arterial aneurysm rupture in acute SAH. The essence of these transactions is to implement them on the background of the complex pathological reactions of cerebrovascular system, which are the cause of ischemia and cerebral edema. Therefore, surgical treatment is a factor that is often exacerbated by a pathological process in the brain that lead to undesirable results. The purpose is to define the prescriptions and contraindications to surgical treatment of arterial aneurysms on the basis of a comprehensive clinical diagnostic tool for minimize the adverse outcome in acute SAH. The study is based on an analysis of a survey and surgical treatment of 80 patients with fractures of arterial aneurysms of the brain, were treated in the period from 2010 to 2012 in the Department of Neurosurgery of the Voronezh Regional Clinical Hospital № 1. Prescriptions to surgical treatment of arterial aneurysms in acute SAH should be based on a comprehensive clinical and instrumental examination, necessarily includes an assessment of neurological and physical monitoring, speakers vasospasm, volume of intracerebral hematoma, the state of the ventricular system and the severity of cerebral edema.