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Differences in the management of ruptured intracranial aneurysms: a survey of practice amongst British neurosurgeons.
  1. H Marsh,
  2. R S Maurice-Williams,
  3. K W Lindsay
  1. Department of Neurosurgery, Royal Free Hospital, London, UK.


    British consultant neurosurgeons in post for at least one year were sent a postal questionnaire about the way in which they managed patients with ruptured aneurysms; 87% replied. Wide differences were evident in almost all aspects of treatment, before, during and after surgery. A consensus of opinion appeared in only a few areas: the employment of magnification during surgery, the use of clipping as the preferred method of surgical treatment, and a general reluctance to operate on patients with a depressed conscious level within a week of haemorrhage.

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