A study of outcome of surgical management of ruptured intracranial aneurysms

Abstract

Background: The present study is a retrospective analysis of collected data of consecutive cases with ruptured intracranial aneurysms treated at two centres. The clinical outcome and associated complications were graded using the modified Rankins scale.Methods: A total of 48 patients of ruptured intracranial aneurysms were managed between January 2014 and August 2017. All forty eight patients underwent clipping. All the 48 patients who were consequently treated with surgery for intracranial aneurysm were analysed.Results: Of the total of 48 patients, Six patients died in the post-operative period while the remaining 42 patients were available for a minimum followup of 6 months duration. the post operatives outcomes matched the presenting Hunt and Hess grade in 80% patients.Conclusions: Surgical outcome of ICA Aneurysm is generally good. Poor results are mainly related to poor aneurysm grade, atherosclerotic intracranial carotid artery, and severe vasospasm. ACOM aneurysm in spite of being very common the outcome of patients with ACOM aneurysms remains not so good. In patients with MCA aneurysm the post-operative outcome is significantly better if surgery is undertaken earlier.