Emergency microsurgery for treatment of Hunt-Hess high grade intracranial aneurysms rupture

VernacularTitle:Hunt-Hess高分级颅内动脉瘤破裂后的急诊手术治疗
Author: Weimin XIA ; Wei GUAN ; Junsong LU
Publication Type:Journal Article
Keywords: Intracranial aneurysm; Rupture; Angiography; Neurosurgical procedures
From: Chinese Journal of Postgraduates of Medicine 2014;37(23):34-36
CountryChina
Language:Chinese
Abstract: Objective To summarize the experience of emergency microsurgery under the guidance of computed tomographic arteriography (CTA) for treatment of Hunt-Hess high grade intracranial aneurysm rupture.Methods The clinical data of 34 patients with Hunt-Hess high grade intracranial aneurysm rupture were retrospectively analyzed.The CT and CTA were detected in the patients on admission.Emergency operation were all performed.The temporal occlusion of the parent artery,removed intracranial hematoma and clipping intracranial aneurysms by microsurgical techniques.All patients were removed skull.Results The prognosis was assessed by Glasgow outcome score (GOS),17 cases were recovered well,10 cases were mildly disabled,3 cases were severely disabled and 4 cases died.Conclusions CTA can be used as the primary diagnosis of intracranial aneurysm imaging methods under the emergency condition.The patients with HuntHess high grade intracranial aneurysm rupture should make positive surgical treatment to save live.