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 2^nd 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

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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.