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The small neck of the aneurysm afforded an easy surgical attack. An
ordinary flat silver clip was placed over the sac and tightly
compressed obliterated it completely. The clip was flush with the
wall of the carotid artery. The sac, lateral to the silver clip,
was then picked up with the forceps and thrombosed by the
electocautery. Walter Dandy reporting his successful operation of a
posterior communicating aneurysm on March 23, 1937. Walter Dandy's
patient left the hospital in good health 2 weeks later, and from
his report one may gain the impression that the operation was an
easy task. Despite continuous developments during the following
decades, it was not until the introduction of the operating
microscope and microsurgical techniques that surgical treatment was
generally accepted. During the microsurgical era surgical results
have continued to improve due to diagnostical, neuroanaesthesi
ological, and microsurgical refinements, and improved
neurointensive care. Endovascular obliteration has become an
important treatment alternative but this has not been included in
this particular volume. The purpose of the present supplement of
the ACTA NEUROCHIRURGICA is to review some of the elements in the
neurosurgical management of patients with aneurysmal subarachnoid
haemorrhage that are important for a successful outcome. Professor
Helge Nornes has been a major force in the development of new
techniques and research strategies in this area for a number of
years and has recently retired from the National Hospital in Oslo."
The small neck of the aneurysm afforded an easy surgical attack. An
ordinary flat silver clip was placed over the sac and tightly
compressed obliterated it completely. The clip was flush with the
wall of the carotid artery. The sac, lateral to the silver clip,
was then picked up with the forceps and thrombosed by the
electocautery. Walter Dandy reporting his successful operation of a
posterior communicating aneurysm on March 23, 1937. Walter Dandy's
patient left the hospital in good health 2 weeks later, and from
his report one may gain the impression that the operation was an
easy task. Despite continuous developments during the following
decades, it was not until the introduction of the operating
microscope and microsurgical techniques that surgical treatment was
generally accepted. During the microsurgical era surgical results
have continued to improve due to diagnostical, neuroanaesthesi
ological, and microsurgical refinements, and improved
neurointensive care. Endovascular obliteration has become an
important treatment alternative but this has not been included in
this particular volume. The purpose of the present supplement of
the ACTA NEUROCHIRURGICA is to review some of the elements in the
neurosurgical management of patients with aneurysmal subarachnoid
haemorrhage that are important for a successful outcome. Professor
Helge Nornes has been a major force in the development of new
techniques and research strategies in this area for a number of
years and has recently retired from the National Hospital in Oslo."
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