Abstract
Objective: To investigate the influence of pre-operative conditions and microsurgical skill on the post-operative outcomes of intracranial aneurysms by retrospective analysis of 120 cases with microsurgical treatment.
Methods: 120 patients with 134 intracranial aneurysms received microsurgical treatment via pterional approach or improved pterional approach.
Results: Of 134 aneurysms, 122 were clipped, one was coated, three were isolated and there was parent artery deligation in one case. 111 Patients were cured, seven cases gave up therapy post-operation, and two died. According to GOS standard, the outcome in the discharge stage was good in 94 cases, mild disability in 12 cases, moderate disability in three cases and severe disability in two cases. Long-term follow-up was performed in all patients, of whom 95 recovered well, mild disability in 12 cases, moderate disability in two cases and severe disability in one case.
Conclusion: Surgical clipping was the most effective method to treat intracranial aneurysm. Optimal chance and microsurgical technique, as well as microanatomical knowledge, are keys for successful treatment.
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References
Mocco J, Hopkins LN. International subarachnoid aneurysm trial analysis. J Neurosurg. 2008;108(3):436.
McKissock W, Paine KWE, Walsh LS. An analysis of the results of treatment of ruptured intracranial aneurysms: report of 772 consecutive cases. J Neurosurg. 1960;17:762–776.
Suarez JI, Tarr RW, Selman WR. Aneurysmal subarachnoid hemorrhage. N Engl J Med. 2006;354(4):387–396.
The CARAT Investigators. Rates of delayed rebleeding from intracranial aneurysms are low after surgical and endovascular treatment. Stroke 2006;37:1437–1442.
Kassel NF, Torner JC, Haley EC. The international cooperative study on the timing of aneurysm surgery, part I: overall management results. J Neurosurg. 1990;73:18–36.
Hijdra A, van Gijn J, Nagelkerke NJ, Vermeulen M, van Crevel H. Prediction of delayed cerebral ischemia, rebleeding, and outcome after aneurysmal subarachnoid hemorrhage. Stroke 1988;19(10):1250–1256.
David CA, Vishteh AG, Spetzler RF, Lemole M, Lawton MT, Partovi S. Late angiographic follow-up review of surgically treated aneurysms. J Neurosurg. 1999;91(3):396–401.
Stachniak JB, Layon AJ, Day AL, Gallagher TJ. Craniotomy for intracranial aneurysm and subarachnoid hemorrhage. Is course, cost, or outcome affected by age? Stroke 1996;27(2):276–281.
Hop JW, Rinkel GJ, Algra A, van GijnJ. Case-fatality rates and functional outcome after subarachnoid hemorrhage: a systematic review. Stroke 1997;28(3):660–664.
Dehdashti AR, Mermillod B, Rufenacht DA, Reverdin A, de Tribolet N. Does treatment modality of intracranial ruptured aneurysms influence the incidence of cerebral vasospasm and clinical outcome? Cerebrovasc Dis. 2004;17(1):53–60.
Hansen-Schwartz J, Vajkoczy P, Macdonald RL, Pluta RM, Zhang JH. Cerebral vasospasm: looking beyond vasoconstriction. Trends Pharmacol Sci. 2007;28(6):252–256.
Acknowledgement
This study was supported by the National Natural Science Fund of China (No. 30973101, No. 30772224, No. 30900466).
Conflict of interest statement We declare that we have no conflict of interest.
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Tang, W. et al. (2011). Microsurgical Treatment of Ruptured Intracranial Aneurysm: A 120-Case Analysis. In: Feng, H., Mao, Y., Zhang, J.H. (eds) Early Brain Injury or Cerebral Vasospasm. Acta Neurochirurgica Supplements, vol 110/2. Springer, Vienna. https://doi.org/10.1007/978-3-7091-0356-2_25
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DOI: https://doi.org/10.1007/978-3-7091-0356-2_25
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