Surgery of Intracranial Aneurysms: Experience of 100 Cases

Authors

  • Sukit Tassanasunthornwong Department of Medical Services, Lerdsin Hospital, Ministry of Public Health, Bangkok 10500, Thailand

Abstract

Objective: The purpose of this study was to evaluate the results of surgical treatment in 100 cases of intracranial aneurysms performed by the author.

Materials and Methods: The study was designed as a retrospective study involving 100 patients (57 females and 43 males) who underwent surgery for ruptured intracranial aneurysm between 1991-2002. Patients' age, gender, location of aneurysm, and subarachnoid hemorrhage (SAH) clinical grading (Hunt and Hess grading) were studied and correlated with the outcome following surgery.

Results: Thirty six patients (36%) had aneurysm of the posterior communicating artery (PcoA), 33 patients (33%) had aneurysm of the anterior communicating artery (AcoA) and 17 patients (17%) had aneurysm of the middle cerebral artery (MCA). The outcome as evaluated by the Glasgow outcome scale was good recovery in 60 patients (60%), moderate disability in 11 patients (11%), severe disability in 7 patients (7%) and death in 22 patients (22%), Good recovery and moderate disability patients (71 patients or 71%) were classified under the favorable outcome group whereas patients with severe disability and death (29 patients or 29%) were classified under the unfavorable outcome group. According to Hunt and Hess SAH grading, the patients with SAH grade I-II had favorable outcome in 60 patients (92%) and un favorable outcome in 5 patients (8%) whereas the patients with SAH grade IV.V had favorable outcome in 1l patients (31%) and unfavorable outcome in 24 patients (69%).

Conclusion: This study of 100 cases revealed 71 cases with favorable outcome, 7 cases with severe disability and 22 death cases. Patients with SAH grade I-III had favorable outcome in 60 cases (92%) and death in 5 cases (8%). Factors that affected the outcome were SAH clinical grading and the age of patients.

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Published

2004-03-31

How to Cite

1.
Tassanasunthornwong S. Surgery of Intracranial Aneurysms: Experience of 100 Cases. Thai J Surg [Internet]. 2004 Mar. 31 [cited 2024 Jul. 18];25(1):1-6. Available from: https://he02.tci-thaijo.org/index.php/ThaiJSurg/article/view/242843

Issue

Vol. 25 No. 1 (2004): January - March

Section

Original Articles

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Articles must be contributed solely to The Thai Journal of Surgery and when published become the property of the Royal College of Surgeons of Thailand. The Royal College of Surgeons of Thailand reserves copyright on all published materials and such materials may not be reproduced in any form without the written permission.