Analysis of Clinical Outcome and Complications After Microsurgical Clipping of Unruptured Paraclinoid Aneurysms.
- Author:
Sun Kyu OH
1
;
In Seok JANG
;
Jae Sung AHN
;
Do Hoon KWON
;
Byung Duk KWUN
Author Information
1. Department of Neurological Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. bdkwun@amc.seoul.kr
- Publication Type:Original Article
- Keywords:
Paraclinoid aneurysm;
Surgical clipping;
Outcome;
Complication
- MeSH:
Aneurysm;
Humans;
Medical Records
- From:Korean Journal of Cerebrovascular Surgery
2010;12(3):202-205
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
OBJECTIVE: The study reports the clinical outcomes and complication rates of microsurgical clipping of unruptured paraclinoid aneurysms. METHODS: From July 1997 to December 2008, 61 patients underwent microsurgical clipping for 61 unruptured paraclinoid aneurysms in our institute. Entire medical records, radiographic data, and operation records were reviewed retrospectively. RESULTS: After the microsurgical clipping, complete obstruction was achieved in 56 patients (91.8%). Visual disturbance (nine cases, 14.8%) was the most frequent complication. Overall, 59 patients (96.7%) had a good long-term outcome (Glasgow outcome scale score of 4-5 3 months post-operatively). CONCLUSION: For patients with paraclinoid aneurysms, satisfactory outcomes can be achieved by microneurosurgical management. These results will be useful when considering treatment of an unruptured paraclinoid aneurysm.
