Percentage Difference in Angiographic Findings Vs Per-operative Findings and Their Implications in Surgical Management of Sub Arachnoid Haemorrhage

Authors

  • BABAR BUTT et al Department of Neurosurgery Unit II, PGMI / Lahore General Hospital, Lahore

Keywords:

Aneurysmal subarachnoud haemorrhage

Abstract

Objective:  To determine the frequency of different treatment modalities used for the exclusion of aneurysms from circulation, to determine the percentage difference between the angiographic findings and per-operative findings related to aneurysm and its surroundings and to determine the outcome of our surgical management.

Results:  Out of 25 cases, maximum cases were recorded in 4th and 5th decade. Male to Female ratio remained (1:1.08). Hypertension is involved significant number of cases. The most common aneurysm was of anterior communicating artery aneurysm (55%). Percentage difference in angiogram and per-operative findings about the appearance of perforators was maximum i.e. in 6 (24%) cases. In 18 (72%) cases clipping was done while remaining 4 (16%) cases were treated with clipping and reinforcement and 1 (4%) each with wrapping, trapping and carotid ligation. At admission Twelve (48%) patients in Grade-I; according to WFNS scale and 10 (83.33%) made good recovery while 2 (16.66%) died. In Grade-II; we had 7 (28%) patients out of which 3 (42.85%) had good recovery, 3 (42.85%) in the state of moderate disability and 1 (14.28%) expired. In Grade-III; we received 6 (24%) patients out of which 4 (66.66%) made good recovery while 2 (33.33%) expired. 

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Published

2022-08-07

Issue

Vol. 8 No. 2 (2004): January-June

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Original Articles

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