Retrospective evaluation of the patients who were admitted to the emergency department of our hospital due to a brain aneurysm and operated by brain surgery clinic

Abstract

Aim: In this study, we aimed to evaluate the clinical features of brain aneurysms in patients who were admitted to the emergencydepartment in our hospital.Material and Methods: The records of 91 patients who were admitted to the emergency department for any reason between01.01.2013 and 01.01.2018 and diagnosed with a brain aneurysm after brain- CT-angiography together with aneurysm-relatedsymptoms and were operated were retrospectively screened after the approval of the local ethics committee. The patients’ age,weight, sex, bleeding time, Glasgow coma scale (GCS), Fisher, Yasargil scores, complications, postoperative status, and the presenceof diabetes mellitus were recorded. Brain-CT-angiography was used to record the localization of the aneurysm, its size,Fisher gradingscale, projection, anatomical variation, whether it was multiple or incidental, he presence of intraventricular hemorrhage and SAH.Results: There was a statistically significant and strong negative correlation between GCS and Fisher and Yasargil classifications.There was a statistically significant and strong positive correlation between the post-op status of the patient and Fisher, Yasargilclassifications and the complications.Conclusion: Whether the patients are admitted to the emergency department with clinical symptoms of an aneurysm or not, whenthe patients are diagnosed with an aneurysm, we believe that one of GCS, Fisher, or Yasargil classifications will reflect the patient’sclinical status, vasospasm status if SAH is present, post-op status, and complications. We think that the location, size, and projectionof the aneurysms are related to the emerging complications and post-op status.