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July2014 Vol.51 Issue:        3       (Supp.) Table of Contents
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Early Surgery for Anterior Communicating Artery Aneurysms: Clinical Outcome in Consecutive 20 Cases

Ahmed Elsayed

Department of Neurosurgery, Cairo University, Egypt



ABSTRACT

Background: Anterior communicating artery aneurysms are the most common aneurysms involving the anterior circulation. They account for approximately 20% of all intracranial aneurysms. The risk of rupture of an unruptured cerebral aneurysm range from 0.1 to 8%annually. Objective: The aim of this study is to investigate the outcome of early anterior communicating artery aneurysms surgery and to review its morbidity and mortality. Methods: In this series, surgery was performed on 20 patients with ruptured anterior communicating artery aneurysm. Thirteen were males and seven were females with a mean age of 56.3 years. The majority of patients presented with symptoms of subarachnoid hemorrhage (SAH) at the time of admission. Each patient was evaluated radiologically by Computed tomography (CT) scan and Four-vessel angiography of brain. Results: All Patients on admission were in grade I, II or III (Hunt and Hess scale). They all underwent surgical clipping of anterior communicating artery (ACoA) aneurysms within 48 hours after presentation. Postoperative functional outcomes at discharge using the modified Rankin Scale were good in 14 (70%) patients, fair in four (20%), and poor in two (10%). At last follow-up, clinical functional outcomes were good in 85% of patients, fair in 5%, and poor outcome remained 10% despite death of one case from the poor group. Conclusions: Early surgical interference for anterior communicating artery aneurysm is a reliable management that provides satisfactory improvement of the functional outcome lowers morbidity rates and achieves total occlusion of the aneurysmal sac. [Egypt J Neurol Psychiat Neurosurg.  2014; 51(3) : 281-285]


Key Words: Anterior communicating artery, subarachnoid hemorrhage, aneurysms.

Correspondence to Ahmed Elsayed, Department of Neurosurgery, Cairo University, Egypt. Tel: +201223409034. Email: drahmed-73@hotmail.com





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