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Information Journal Paper

Title

Surgical Protocol and Outcome of 60 Cases WithIntracranial Aneurysm

Pages

  75-82

Abstract

 Background and Aim: This study aimed to present the Results of early and delayed operationon patients with ruptured brain Aneurysms. In addition to comparing the Results and rates ofmorbidity and mortality in the surgical procedure and identifying the effective factors, this studyaimed to provide methods to improve the treatment of brain Aneurysm. Methods and Materials/Patients: This was a retrospective study on 60 patients with a definitivediagnosis of brain Aneurysm admitted to Neurosurgery Ward of Poursina Hospital, Rasht, Iran from2009 to 2013. Results: 7(11. 7%) patients on the first 3 days and 37(61. 7%) patients on the days 4-14 and16(26. 7%) after 2 weeks and selectively underwent surgery. In total, 11. 7% of patients died and15% developed severe complications. In the group underwent surgery on the first 3 days, 2(28. 5%)patients died and 2 experienced severe complications. In the second group (in 4-14 days), 4(10. 8%)patients died and 5(13. 5%) suffered from severe complications, and in the group (16 patients)with delayed surgeries, 1(6. 2%) patient died and 2(12. 5%) suffered from severe complications. Neurological grading and operation time were important factors in complications and mortalityof patients. Conclusion: This study showed that Hunt and Hess neurological grading score has a directrelationship with increased morbidity and mortality rates, while delayed operation is associatedwith a reduction in morbidity and mortality. Given the complications of early Aneurysm surgery(during the first 3 days) compared with delayed surgery, and also most of these patients die dueto vasospasm or recurrent hemorrhage before the onset of a delayed phase, performing Earlysurgery in these patients requires further evaluation. According to this study, the reduction of eachepisode of occlusion with temporary clipping will result in fewer complications.

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    APA: Copy

    ALIJANI, BABAK, EMAMHADI, MOHAMMADREZA, YOUSEFZADE CHABOK, SHAHROKH, Jafari, Seyfollah, & NASERI, AMIN. (2018). Surgical Protocol and Outcome of 60 Cases WithIntracranial Aneurysm. IRANIAN JOURNAL OF NEUROSURGERY, 4(2 (13)), 75-82. SID. https://sid.ir/paper/351589/en

    Vancouver: Copy

    ALIJANI BABAK, EMAMHADI MOHAMMADREZA, YOUSEFZADE CHABOK SHAHROKH, Jafari Seyfollah, NASERI AMIN. Surgical Protocol and Outcome of 60 Cases WithIntracranial Aneurysm. IRANIAN JOURNAL OF NEUROSURGERY[Internet]. 2018;4(2 (13)):75-82. Available from: https://sid.ir/paper/351589/en

    IEEE: Copy

    BABAK ALIJANI, MOHAMMADREZA EMAMHADI, SHAHROKH YOUSEFZADE CHABOK, Seyfollah Jafari, and AMIN NASERI, “Surgical Protocol and Outcome of 60 Cases WithIntracranial Aneurysm,” IRANIAN JOURNAL OF NEUROSURGERY, vol. 4, no. 2 (13), pp. 75–82, 2018, [Online]. Available: https://sid.ir/paper/351589/en

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