Aneurysms and Arteriovenous Malformations Management
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Questions and Answers

Why is early intervention recommended for ruptured intracranial aneurysms?

  • To increase the risk of ischemia
  • To induce hypertension in patients
  • To reduce the likelihood of rebleeding (correct)
  • To maximize the period of maximal vasospasm risk

In what neurologic grades was early intervention initially undertaken for intracranial aneurysms?

  • Grade IV and V of the Hunt-Hess classification
  • Grade I-III of the Hunt-Hess classification (correct)
  • Grade VII and VIII of the World Federation of Neurosurgeons classification
  • Grade IV and V of the World Federation of Neurosurgeons classification

What is the rationale for early intervention in managing ruptured intracranial aneurysms?

  • To increase the likelihood of rebleeding
  • To delay surgery by several weeks
  • To prolong the period of maximal vasospasm risk
  • To eliminate the risk of ischemia caused by vasospasm management (correct)

If early intervention is not feasible, when may surgery be delayed?

<p>For 7-10 days post-subarachnoid hemorrhage (A)</p> Signup and view all the answers

What is the principal cause of death for patients hospitalized after subarachnoid hemorrhage?

<p>Rebleeding (B)</p> Signup and view all the answers

What does early occlusion of an aneurysm help eliminate?

<p>Risk associated with vasospasm (C)</p> Signup and view all the answers

What is one of the benefits of early aneurysm clipping according to the text?

<p>Reduced hospitalization period (A)</p> Signup and view all the answers

Why does early intervention make the surgeon's task more difficult?

<p>Enhanced risk of intraoperative aneurysmal rupture (C)</p> Signup and view all the answers

What is a common occurrence after blood contaminates the subarachnoid space following aneurysmal SAH?

<p>Permanent closure of CSF diversion (C)</p> Signup and view all the answers

Why is it important to reduce the volume of intracranial contents during surgery according to the text?

<p>To facilitate exposure (D)</p> Signup and view all the answers

What is a risk associated with early aneurysm clipping mentioned in the text?

<p>Enhanced risk of intraoperative aneurysmal rupture (D)</p> Signup and view all the answers

How does maintaining a patient on bed rest impact hospitalization according to the text?

<p>Decreases period of hospitalization (D)</p> Signup and view all the answers

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