Acta Scientific Neurology (ASNE) (ISSN: 2582-1121)

Research Article Volume 5 Issue 5

A 2 Year Observation of Surgically Clipped Intracranial Aneurysms with Focus on Outcomes and Prognostic Factors; An Institutional Study

Chakraborty T*, A Mastan Reddy, Devi P and Sinha PM

Department of Neurosurgery, Osmania Medical College, Hyderabad, India

*Corresponding Author: Chakraborty T, Department of Neurosurgery, Osmania Medical College, Hyderabad, India.

Received: October 25, 2021; Published: April 30, 2022

Abstract

All cases of intracerebral aneurysms admitted in Department of Neurosurgery, Osmania General Hospital, Hyderabad from December 2017 - December 2019 were analyzed based on factors like age, sex, co morbidities, aneurysm characteristics such as size, location, WFNS grading and Hess and Hunt scale and by Fisher’s grade, day of ictus at the time of surgery etc. End point of study was recovery/discharge from hospital to death.

Observation and Results: 51 patients underwent clipping of cerebral aneurysms. Age ranged from 25 to 80 years, 2/3rds being female and age preponderance seen in 41-60 yr age group. 18 patients were hypertensive. Day of ictus at time of surgery ranged from 4 to 32 days. Anterior circulation aneurysms were in maximum number. Half of patients were admitted in WFNS grade I. 4 patients needed pre operative CSF diversion.12 patients expired post operatively, out of which 7 patients were in age group 30 to 50 yrs. 5 out of 10 patients were hypertensive, 9 were in WFNS grade 4, 7 patients in higher Fisher’s grade, 7 were operated in 2nd post ictal week and 4 patients had pre operative EVD.

Conclusion: Age, poor clinical grade, poor radiological grade, hypertension, pre operative hydrocephalus were found to be adversely affecting outcome.

Keywords: Neurosurgery; WFNS Grade; Fisher’s Grade

References

  1. Medhat Mostafa and Nader Mohamed. “Evaluation of aneurysm surgery in anterior circulation and Overall Outcome”. 16.2(2004).
  2. Ranganadhan Mahapatra., et al. “129 Cases of intracranial anerysms a 10 yr study in AIIMS Neurology India”. Neurology India (1965):42-43.
  3. “Incidence of intra cranila aneurysms in 5 yr study”. Neurology India 37 (1989).
  4. DJ Louw., et al. Journal of Radiology (2004).
  5. “Pakarinen incidence, etiology, progress of sah, study based on 589 cases in defined population”. Acta Neurologica Scandinavica 43 (1963).
  6. “Inagawa anerymal sah in izumcounty of Japan”. Stroke 19 (1987): 176-180.
  7. , et al. “Prognostic factors for outcome in patients with aneurysmal subarachnoid Hemorrhage”. Stroke 38 (2007): 2315-2321.
  8. Madhukar T., et al. “Outcome of intracranial aneurysm clipping: analysis of 35 cases”. International Journal of Advances in Medicine2 (2015).

Citation

Citation: Chakraborty T., et al. “A 2 Year Observation of Surgically Clipped Intracranial Aneurysms with Focus on Outcomes and Prognostic Factors; An Institutional Study”. Acta Scientific Neurology 5.5 (2021): 41-44.

Copyright

Copyright: © 2021 Chakraborty T., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




Metrics

Acceptance rate32%
Acceptance to publication20-30 days

Indexed In




News and Events


  • Certification for Review
    Acta Scientific certifies the Editors/reviewers for their review done towards the assigned articles of the respective journals.
  • Submission Timeline for Upcoming Issue
    The last date for submission of articles for regular Issues is November 25, 2024.
  • Publication Certificate
    Authors will be issued a "Publication Certificate" as a mark of appreciation for publishing their work.
  • Best Article of the Issue
    The Editors will elect one Best Article after each issue release. The authors of this article will be provided with a certificate of "Best Article of the Issue"
  • Welcoming Article Submission
    Acta Scientific delightfully welcomes active researchers for submission of articles towards the upcoming issue of respective journals.

Contact US