Brief history of surgical timing: surgery for ruptured intracranial aneurysms

Full access

The neurosurgical profession has taken a circuitous route to attain its current knowledge about timing for aneurysm surgery. While addressing the timing issue, neurosurgeons were beset by many pressures simultaneously. They were forced to justify not only optimal surgical techniques but the need for surgery at all in the treatment of ruptured aneurysms. The beliefs of surgeons with strong personalities, in addition to intuitive guesses, often served to guide surgery in the absence of scientific evidence. That any progress could be made against a background of desperately ill patients and frustrating early results is remarkable. The author briefly outlines the controversies and misdirection that accompanied this progress toward understanding surgical timing in the treatment of ruptured aneurysms.

Abbreviation used in this paper:ICA = internal carotid artery.

The neurosurgical profession has taken a circuitous route to attain its current knowledge about timing for aneurysm surgery. While addressing the timing issue, neurosurgeons were beset by many pressures simultaneously. They were forced to justify not only optimal surgical techniques but the need for surgery at all in the treatment of ruptured aneurysms. The beliefs of surgeons with strong personalities, in addition to intuitive guesses, often served to guide surgery in the absence of scientific evidence. That any progress could be made against a background of desperately ill patients and frustrating early results is remarkable. The author briefly outlines the controversies and misdirection that accompanied this progress toward understanding surgical timing in the treatment of ruptured aneurysms.

If the inline PDF is not rendering correctly, you can download the PDF file here.

Article Information

Address reprint requests to: Sherman C. Stein, M.D., Department of Neurosurgery, Hospital of the University of Pennsylvania, Fifth Floor Silverstein Building, University of Pennsylvania Medical Center, 3400 Spruce Street, Philadelphia, Pennsylvania 19104. email: mssstein@voicenet.com.

© AANS, except where prohibited by US copyright law.

TrendMD

Metrics

Metrics

All Time Past Year Past 30 Days
Abstract Views 0 0 0
Full Text Views 197 196 28
PDF Downloads 202 189 3
EPUB Downloads 0 0 0

PubMed

Google Scholar