Overall management of XXXX : comparison of early and late operation.

@entity1 @entity101 @entity548 @entity510 @entity16 @entity439 @entity2553 @entity1756
The overall management results with 61 consecutive @entity1 admitted within 3 days of @entity510 from a @entity1756 were analyzed. During the course of this study, the preferred method of management shifted from late surgery (planned at least 7 days after the last @entity548 ) to early surgery (within 4 days of the last @entity548 ). Ten moribund @entity1 were excluded from analysis, leaving 24 in the late group and 27 in the early group. Both groups had comparable @entity1 demographic characteristics and @entity16 , and their care was supervised by one neurosurgeon (N.F.K.). A microsurgical intracranial operation was performed on all @entity1 who survived long enough to have surgery. The intraoperative conditions and complications were similar for the two groups. The average length of follow-up was 11 months in the late and 9 months in the early group. The overall management results for the late group showed a 42% favorable outcome, a 17% unfavorable outcome, and a 42% mortality. The early group had an 81% favorable outcome, a 7% unfavorable outcome, and an 11% mortality. @entity1 in both good and poor conditions fared better in the early group. Seven late group @entity1 rebled, compared to none in the early group. The number of medical complications, the length of hospitalization, and the occurrence of symptomatic @entity2553 were all greater in the late group. @entity2553 in the early group occurred only postoperatively and, with the @entity439 secured, was treated more aggressively and successfully with @entity101 /hypervolemic therapy than the predominantly operative @entity2553 in the late group.
