Risk of Dependency Following Microsurgical Clipping in Good Grade Patients With Ruptured Anterior Circulation Aneurysms
نویسندگان
چکیده
Background and Aim: Most good grade (WFNS I II) patients who undergo microsurgical clipping achieve a favorable outcome. However, some independent before surgery face unfavorable outcomes after the operation, signifying impact of clipping. This study aimed to identify risk developing dependency in without previous neurological deficits. Methods Materials/Patients: We reviewed 50 consecutive with ruptured anterior circulation aneurysms underwent between May 2017 2020 Department Neurosurgery, Punjab Institute Neurosciences, Lahore, Pakistan. The clinical outcome at discharge three months follow-up was assessed using Glasgow Outcome Scale (GOS). Results: In this study, seven (14%) became dependent (GOS II III) following Of whom, five (10%) suffered surgical insult form intraoperative rupture (4%), post-op infarct direct brain damage (2%). Conclusion: Patients neurologic deficit pre-operatively still suffer mainly due operative complications. Vascular injuries remain main cause morbidity-producing dependency. Therefore, all techniques must minimize vessels, both during dissection clip placement.
منابع مشابه
Microsurgical clipping in forty patients with unruptured anterior cerebral circulation aneurysms: an investigation into cognitive outcome.
OBJECTIVE It is a consensus that most unruptured intracranial aneurysms (UIA) can be treated with acceptably low morbidity. However, some studies recently reported postoperative cognitive impairment, suggesting that it could be attributable to surgical damage. Our goal is to evaluate cognitive function before and after microsurgical clipping in patients with UIA. METHOD A consecutive series o...
متن کاملMicrosurgical clipping or endovascular coiling for ruptured cerebral aneurysms.
See related article, pages ●●●–●●● Early aneurysm repair to prevent recurrent bleeding is central to the management of patients with subarachnoid hemorrhage. Over the past 15 years, endovascular occlusion of cerebral aneurysms has emerged as an alternative to microsurgical clipping, and the relative merits and shortcomings of these 2 approaches have been the subject of considerable discussion i...
متن کاملKeyhole Approach Combined With External Ventricular Drainage for Ruptured, Poor-Grade, Anterior Circulation Cerebral Aneurysms: Erratum
متن کامل
Keyhole Approach Combined With External Ventricular Drainage for Ruptured, Poor-Grade, Anterior Circulation Cerebral Aneurysms
Poor-grade ruptured anterior circulation cerebral aneurysms are frequently associated with severe vasospasm and high morbidity rates despite recent remarkable advances in endovascular coiling.Here, we explored the feasibility of keyhole approach combined with external ventricular drainage for ruptured, poor-grade, anterior circulation cerebral aneurysms. We retrospectively assessed the records ...
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ژورنال
عنوان ژورنال: Iranian journal of neurosurgery
سال: 2021
ISSN: ['2423-6497', '2423-6829']
DOI: https://doi.org/10.32598/irjns.7.1.6