Stroke, Vol 16, 48-52, Copyright © 1985 by American Heart Association
A Nishimoto, K Ueta, H Onbe, K Kitamura, T Omae, F Goto, G Ohneda, H Chigasaki, M Tsuru and J Suzuki
A cooperative study was made of 4750 intracranial aneurysm cases collected
from 133 neurosurgical clinics in Japan by letter inquiry for the period of
2 years from January 1974 to December 1975. Among them, 4124 cases (87%)
had a single aneurysm, and 626 cases (13%) had multiple ones. Direct
radical surgery was done in 78% of all cases, carotid ligation in 2% and
non-surgical treatment in 17%. Direct surgery in a mortality rate of 15%
for ruptured aneurysm cases and 7% for nonruptured cases. Radical surgery
within 24 hours after rupture had a mortality of 51%, while those within 1
week and 2 weeks were 39% and 30% respectively; grade I or II patients,
however, showed much better surgical results even in early operations. The
neurosurgical clinics included in this study were spread throughout most of
Japan. Micro-surgical technic was already in use of aneurysm surgery at the
time of this study in Japan.
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Nationwide co-operative study of intracranial aneurysm surgery in Japan
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