Outcome of surgical management of 347 intracranial aneurysms in 305 cases

Temel Bulgular & Veri:Intrakranial anevrizmaların tedavi sonuçları birçok faktör tarafından etkilenir ve anevrizma cerrahisinde sonuçları önceden tahmin etmek hastaların değişken özelliklerinden dolayı güçtür.

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Sonuç & Katkı:Anahtar Sözcükler: Anevrizma, prognoz, subaraknoid kanama, tedavi.

🔬Tür:Araştırma Makalesi

📍Kapsam:2001 · 305 hasta

⚙️Değişkenler:Subaraknoid kanama · Fonksiyon iyileşmesi · Geriyedönük çalışma

Özet

Intrakranial anevrizma rüptürüne bağlı subaraknoid kanama yüksek mortalité ve morbidité oranına sahiptir. Intrakranial anevrizmaların tedavi sonuçları birçok faktör tarafından etkilenir ve anevrizma cerrahisinde sonuçları önceden tahmin etmek hastaların değişken özelliklerinden dolayı güçtür. Bu çalışmada 1992-2001 yılları arasında intrakranial anevrizma cerrahisi uygulanmış 305 hastada başvuru WFNS skoru ve Fisher grade'i ile tedavi sonuçlan arasındaki ilişkinin araştırılması amaçlanmıştır. Beraberinde başvuru Fisher grade'i ile vazospazm ilişkisi analiz edilmiştir. Anahtar Sözcükler: Anevrizma, prognoz, subaraknoid kanama, tedavi.

Abstract

Subarachnoid hemorrhage as a result of intracranial aneurysm rupture has high mortality and morbidity rate. Overall management results in intracranial aneurysm management influence by several factors and predicting the outcome in aneurysm surgery is difficult because of variable characteristics of patients. In this study we aimed to investigate the relationship between initial WFNS and Fisher grade and outcome in 305 patients that underwent intracranial aneurysm surgery between 1992-2001. Relationship between initial Fisher grade and vasospasm is also analyzed.

Anahtar kelimeler

Subaraknoid kanama Fonksiyon iyileşmesi Geriyedönük çalışma Kafa içi anevrizma Subarachnoid Hemorrhage Recovery of Function Retrospective Studies Intracranial Aneurysm

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Bu Makaleye Atıf Yap

SOLAROĞLU, İ., KAPTANOĞLU, E., OKUTAN, Ö., BEŞKONAKLI, E., TAŞKIN, Y. (2003). Outcome of surgical management of 347 intracranial aneurysms in 305 cases. Türk Serebrovasküler Hastalıklar Dergisi, Cilt: 9 - Sayı: 2, 57–61. https://ajindex.com/articles/357826

Kaynakça (14)

Atkinson JL, Sundt TM, Houser OW, Whisnant JP. Angiographic ferquency of anterior circulation intracranial aneurysms. J Neurosurg 1989, 70: 551-555
Nakagawa T and Hashi K. The incidence and treatment of asymptomatic, unruptured cerebral aneurysms. J Neurosurg 1994, 80: 217-223
Kassell NF, Torner JC, Haley EC, Jane JA, Adams HP, Kongable GL. The international cooperative study on the timing of aneurysm surgery. Part 1: Overall management results. J Neurosurg 1990, 73: 18-36
Kassell NF, Torner JC, Jane JA, Haley EC, Adams HP. The international cooperative study on the timing of aneurysm surgery. Part 2: Surgical results. J Neurosurg 1990, 73: 37-47
Sundt TM, Kobayashi S, Fode NC, Whisnant JP. Results and complications of surgical management of 809 aneurysms in 722 cases. Related and unrelated to grade of patient, typre of aneurysm, and timing surgery. J Neurosurg 1982, 56: 753-765
Ropper AH and Zervas NT. Outcome 1 year after SAH from cerebral aneurysm. Management morbidity, mortality, and functional status in 112 consecutive good-risk patients. J Neurosurg 1984, 60: 909-915
Ausman JI, Diaz FG, Malik GM, Andrews BT, McCormick PW, Balakrishnan G. Management of cerebral aneurysms: Further facts and additional myths. Surg Neurol 1989, 32: 21-35
Naso WB, Rhea AH, Poole A. Management and outcomes in a low-volume cerebral aneurysm practice. Neurosurgery 2001, 48: 91-100
Chung RY, Carter BS, Norbash A, Budzik R, Putnam C, Ogilvy CS. Management outcomes for ruptured and unruptured aneurysms in the elderly. Neurosurgery 2000, 47: 827-833
Beskonakli E, Ergungor MF, Ergun R, Akdemir G, Cayli S, Bostanci U, Gul B, Yüksel M, Taskin Y. Spontaneous Subarachnoid hemorrhage and intracraniai aneurysms: Clinical analysis in 122 cases. The Medical Journal of A. Numune Hospital 1996, 36: 90-95
Gilsbach JM and Harders AG. Morbidity and mortality after early aneurysm surgery- a pospective study with nimodipine prevention. Acta Neurochir (Wien) 1989, 96: 1-7
Öhman J and Heiskanen O. Effect of nimodipine on the outcome of patients after aneurysmal subarachnoid hemorhage and surgery. J Neurosurg 1988, 69: 683-686
Fisher CM, Kistler JP, Davis JM. Relation of cerebral vasospasm to subarachnoid hemorrhage visualized by computerized tomography scanning. Neurosurgery 1980, 6:1-9
Fisher CM, Roberson GH, Ojemann RG. Cerebral vasospasm with ruptured saccular aneurysm- the clinical manifestations. Neurosurgery 1977,1: 245-248