The Treatment of Intracranial Aneurysms And Spontaneous Subarachnoid Hemorrhage

2015 ◽  
pp. 134-136
Author(s):  
Lester A. Mount
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Intracranial Aneurysms ◽  
Spontaneous Subarachnoid Hemorrhage

scholarly journals Surgical treatment of intracranial aneurysms: six-year experience in Belo Horizonte, MG, Brazil

2004 ◽  
Vol 62 (2a) ◽  
pp. 245-249 ◽  
Author(s):  
Leodante Batista da Costa Jr ◽  
Josaphat Vilela de Morais ◽  
Agustinho de Andrade ◽  
Marcelo Duarte Vilela ◽  
Renato P. Campolina Pontes ◽  
...  
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Surgical Treatment ◽  
Intracranial Aneurysms ◽  
Aneurysmal Subarachnoid Hemorrhage ◽  
The United States ◽  
Anterior Circulation ◽  
Common Location ◽  
Belo Horizonte ◽  
Spontaneous Subarachnoid Hemorrhage ◽  
Anterior Circulation Aneurysms

Spontaneous subarachnoid hemorrhage accounts for 5 to 10 % of all strokes, with a worldwide incidence of 10.5 / 100000 person/year, varying in individual reports from 1.1 to 96 /100000 person/year. Angiographic and autopsy studies suggest that between 0.5% and 5% of the population have intracranial aneurysms. Approximately 30000 people suffer aneurysmal subarachnoid hemorrhage in the United States each year, and 60% die or are left permanently disabled. We report our experience in the surgical treatment of intracranial aneurysms in a six year period, in Belo Horizonte, Minas Gerais, Brazil. We reviewed the hospital files, surgical and out-patient notes of all patients operated on for the treatment of intracranial aneurysms from January 1997 to January 2003. Four hundred and seventy-seven patients were submitted to 525 craniotomies for treatment of 630 intracranial aneurysms. The majority of patients were female (72.1%) in the fourth or fifth decade of life. Anterior circulation aneurysms were more common (94.4%). The most common location for the aneurysm was the middle cerebral artery bifurcation. The patients were followed by a period from 1 month to 5 years. The outcome was measured by the Glasgow Outcome Scale (GOS). At discharge, 62.1% of the patients were classified as GOS 5, 13.9% as GOS 4, 8.7% as GOS 3, 1.7% as GOS 2 and 14.8% as GOS 1.

Cerebral panangiography in spontaneous subarachnoid hemorrhage from intracranial aneurysms

1988 ◽  
Vol 29 (6) ◽  
pp. 633-636 ◽  
Author(s):  
P. Nakstad ◽  
H. Nornes ◽  
H. N. Hauge ◽  
O. Kjartansson
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Intracranial Aneurysms ◽  
Spontaneous Subarachnoid Hemorrhage

Hydrocephalus following spontaneous subarachnoid hemorrhage

1973 ◽  
Vol 39 (4) ◽  
pp. 474-479 ◽  
Author(s):  
M. Gazi Yasargil ◽  
Yasuhiro Yonekawa ◽  
Bruno Zumstein ◽  
Hans-Jürgen Stahl
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Clinical Features ◽  
Intracranial Aneurysms ◽  
Communicating Hydrocephalus ◽  
Content Type ◽  
Spontaneous Subarachnoid Hemorrhage ◽  
The Relationship ◽  
Ruptured Intracranial Aneurysms ◽  
Fine Print

✓ Twenty-eight cases of communicating hydrocephalus after subarachnoid hemorrhage (SAH) due to ruptured intracranial aneurysms are reported. The relationship between the incidence of this complication and the various clinical features of SAH is discussed. The findings of RISA cisternography have little relationship to the findings of pneumoencephalography or the results of shunting procedures. The availability and value of echoencephalography in treating such patients is emphasized.

Cerebral panangiography in spontaneous subarachnoid hemorrhage from intracranial aneurysms

1988 ◽  
Vol 29 (6) ◽  
pp. 633-636 ◽  
Author(s):  
P. Nakstad ◽  
H. Nornes ◽  
H. N. Hauge ◽  
O. Kjartansson
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Intracranial Aneurysms ◽  
Spontaneous Subarachnoid Hemorrhage

scholarly journals Surgical Anatomy and Prevalence of Intracranial Aneurysms in Patients With Spontaneous Subarachnoid Hemorrhage

Cureus ◽  
2021 ◽  
Author(s):  
Sahibzada Haseeb Ahmed ◽  
Muhammad Haris ◽  
Najma Baseer ◽  
Aqsa Saleema ◽  
Sobia Haris ◽  
...  
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Intracranial Aneurysms ◽  
Surgical Anatomy ◽  
Spontaneous Subarachnoid Hemorrhage

scholarly journals An Analysis of Intracranial Aneurysms Presenting with Subarachnoid Haemorrhage in Manipal Teaching Hospital Pokhara

2018 ◽  
Vol 8 (1) ◽  
pp. 20-24
Author(s):  
Balgopal Karmacharya ◽  
Nikunja Yogi
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Teaching Hospital ◽  
Intracranial Aneurysms ◽  
Artery Aneurysm ◽  
Anterior Communicating Artery ◽  
High Morbidity ◽  
Anterior Circulation ◽  
Cross Sectional ◽  
Female Ratio ◽  
Spontaneous Subarachnoid Hemorrhage

Introduction: Rupture of intracranial aneurysms is the most common cause for spontaneous subarachnoid hemorrhage. It is a devastating stroke with high morbidity and mortality. This study was done to determine the frequency, location and size of aneurysms in patients presenting with spontaneous subarachnoid hemorrhage.Methods: This prospective cross sectional observational study was conducted in the Neurosurgery Unit of Manipal Teaching Hospital from January 2012 to June 2016. All patients who presented with spontaneous subarachnoid hemorrhage and had a positive angiography of brain were included in the study.Results: There were 39 patients who had positive angiographic results. Male: female ratio was 1:2.25. Mean age was 55.79 years. Nine patients had more than one aneurysms. More than 50% of patients were of age group 50-70 years. Anterior circulation aneurysms were found in 90% of patients. Anterior communicating artery was the commonest location of aneurysms. Most of the aneurysms had neck size less than 4 mm.Conclusion: Anterior communicating artery aneurysm was the commonest location of ruptured aneurysms.  23.07% of patients had multiple aneurysms. 

Cerebral Panangiography in Spontaneous Subarachnoid Hemorrhage from Intracranial Aneurysms

1988 ◽  
Vol 29 (6) ◽  
pp. 633-636 ◽  
Author(s):  
P. Nakstad ◽  
H. Nornes ◽  
H. N. Hauge ◽  
O. Kjartansson
Keyword(s):  
Subarachnoid Hemorrhage ◽  
Cerebral Angiography ◽  
Intracranial Aneurysms ◽  
Cerebral Arteries ◽  
Multiple Aneurysms ◽  
Middle Cerebral Arteries ◽  
Spontaneous Subarachnoid Hemorrhage

Cerebral panangiography was performed in 594 patients with subarachnoid hemorrhage from intracranial aneurysms. Aneurysm of the middle cerebral arteries was the most frequent location of aneurysms in this material. Multiple aneurysms of the middle cerebral arteries are far more frequent than the combination of other locations. Judged from this material there is a 7 per cent possibility of finding a contralateral aneurysm of the middle cerebral arteries if one is found. Multiple aneurysms were found in 51 (8.6%) of the 594 patients. We conclude that the results of this study are typical for Norwegians, although some selection exists since the patients were first admitted to other hospitals. The frequency of complications with cerebral panangiography in subarachnoid hemorrhage was less than that of cerebral angiography in patients with other diseases.

Computed Tomography Angiography (CTA) Evaluation of Spontaneous Subarachnoid Hemorrhage

2020 ◽  
Vol 6 (2) ◽  
pp. 78-81
Author(s):  
Md Tauhidul Islam Chowdhury ◽  
Mohammad Shah Jahirul Hoque Chowdhury ◽  
Mohammad Sadekur Rahman Sarkar ◽  
KM Ahasan Ahmed ◽  
Md Nazmul Kabir ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Subarachnoid Hemorrhage ◽  
Computed Tomography Angiography ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Multiple Aneurysm ◽  
Traumatic Subarachnoid Hemorrhage ◽  
One Year ◽  
Spontaneous Subarachnoid Hemorrhage

Background: In evaluation of non-traumatic subarachnoid hemorrhage CT angiography (CTA) has 97-98% sensitivity and near 100% specificity. Objective: This study was conducted to evaluate the CTA findings of CT positive non traumatic subarachnoid hemorrhage. Methodology: This is an observational cross sectional study performed in Neurology department of National Institute of Neurosciences and Hospital, Dhaka over one year period (January 2019 to December 2019). Total 87 CT positive subarachnoid hemorrhage cases were purposively included in this study. All CT positive patients underwent CTA of Cerebral vessels for further evaluation. The angiography were evaluated by competent neuro-radiologists blinded about the study. Result: Among 87 patients, 40.2% were male and 59.8% were female. The average age was 53.33±11.1 years. Among the studied patient the source of bleeding was found 78.16% aneurysmal and 21.84% non-aneurysmal. 85.30% patients had single aneurysm and 14.70% had multiple aneurysm. The highest number of patient had Acom aneurysm (41.17%) followed by MCA (22.05%), ICA (13.23%), ACA (7.35%) and vertebral artery (1.14%) in order of frequency. Among the multiple aneurysm group most of the patients had combination of Acom, MCA and ICA aneurysm. Conclusion: From this study, we can conclude that CTA can be used as the primary diagnostic tool in evaluation of spontaneous SAH. Journal of National Institute of Neurosciences Bangladesh, 2020;6(2): 78-81

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