Institutional Experience Of Intracranial Aneurysms And Its Surgical Outcome Analysis

Background: Cerebral aneurysms could rupture causing stroke, or compress the nearby brain surface, the cranial nerves and blood vessels. Intracranial aneurysms, primarily of the saccular or berry type, significantly contribute to non traumatic subarachnoid haemorrhages and demonstrate a rising incidence due to advances in imaging techniques. The CNS vascularization is an ascending process that accompanies the anatomical and functional maturations of its various territories. It starts at the myelencephalon and ascends sequentially through the metencephalon, mesencephalon, diencephalon, and finally the telencephalon. In our institute we go for micro vascular clipping of the aneurysm, and we present the various factors and our experience with these aneurysm surgeries. Materials and Methods: in this Retrospective study, we have a total of 58 patients of intracranial aneurysms that were admitted and treated surgically by clipping of aneurysm under department of neurosurgery, King George Hospital. All patients were evaluated thoroughly by serial neurological examination and monitoring of vitals. Here we give the results of the 58 cases that have been operated and there clinical outcome. Results: A total of 58 cases were operated, and we had 18 male and 40 females, while age wise most cases were present in the 6th decade of life. Headache with vomiting were the most common presenting symptoms, while most patients were in grade 2 hunt and hess , while in wfns they were predominantly in grade 1. Modified fishers had most in grade 1 and 3. Most common location was A Com A aneurysm followed by MCA. Conclusion: there was a female preponderance of 2.3 to 1, while A Com A aneurysm was the most common, early treatment and prevention of intra operative rupture of aneurysm had good outcome compared to cases that had intra operative rupture