The “Brain Stress Timing” phenomenon and other misinterpretations of randomized clinical trial on aneurysmal subarachnoid hemorrhage  

作　　者：Rafael Martinez-Perez Natalia Rayo Agustin Montivero Jorge Marcelo Mura 

机构地区：[1]Division of Neurosurgery, Institute of Clinical Neurosciences, Universidad Austral de Chile, Valdivia, Chile [2]Division of Cerebrovascular and Skull Base Neurosurgery, Institute of Neurosurgery Dr Asenjo, Santiago, Chile [3]Western University, London, ON, Canada

出　　处：《Neural Regeneration Research》2019年第8期1364-1366,共3页中国神经再生研究（英文版）

摘　　要：Clipping and coiling are currently the two alternatives in treatment of ruptured cerebral aneurysms. In spite of some meritorious analysis, further discussion is helpful to understand the actual state of art. Retreatment and rebleeding rates clearly favors clipping, although short-term functional outcome seems to be beneficial for clipping, while this different is not such if we perform the comparison at a longer follow up. Longterm follow ups and cost analysis are mandatory to have a clear view of the current picture in treatment of subarachnoid hemorrhage. Treatment strategy should be made by a multi-disciplinary team in accredited centers with proficient experience in both techniques.Clipping and coiling are currently the two alternatives in treatment of ruptured cerebral aneurysms. In spite of some meritorious analysis, further discussion is helpful to understand the actual state of art. Retreatment and rebleeding rates clearly favors clipping, although short-term functional outcome seems to be beneficial for clipping, while this different is not such if we perform the comparison at a longer follow up. Longterm follow ups and cost analysis are mandatory to have a clear view of the current picture in treatment of subarachnoid hemorrhage. Treatment strategy should be made by a multi-disciplinary team in accredited centers with proficient experience in both techniques.

关 键 词：sAH SUBARACHNOID hemorrhage COILING CLIPPING RUPTURED aneurysm TIMING INTRACRANIAL 

分 类 号：R[医药卫生]