Tamez-Montes D, Ramírez-Barrios LR, Garza-Mercado R, Martínez-Ponce de León ÁR, Villarreal-Reyna G, Peña-Ramírez D

Language: Spanish
References: 15
Page: 39-41
PDF size: 80.30 Kb.

ABSTRACT

The management of the intracranial aneurysm is a great challenge to neurosurgery. One of the most effective treatment to prevent the subsequent re-bleeding of a previous ruptured aneurism is the surgical clipping, The aim of this study is to present the postoperative outcome of ruptured aneurysm managed in this hospital the last 5 years. Methods: this study included 86 patients with ruptured intracranial aneurysm treated with surgical clipping during the last five years in the University Hospital «Dr. José Eleuterio González». The outcome was evaluated using the glasgow coma SCALE, Hunt and Hess and Fisher scale. Results: the mean age in this study was 51 years old, 72% were woman. The most frequent location of intracranial aneurism was in the posterior communicant artery (37%). During surgery there were only 4% of complication, 2 patient with ruptured aneurysm and 1 patient with occlusion of MCA. There were 4% of mortality.

REFERENCES

1. Raaymakers D. Risks and benefits of screening for intracranial aneurysms in first-Degree relatives of patients whit sporadic subarachnoid hemorrhage. The New England Journal of Medicine 1999;341(18): 1344-50.

2. Soler L, Guimaraens L, Vivas E. Tratamiento de los aneurismas cerebrales. FMC 2008; 15(2):101-12.

3. Moran A, Salas J, Gil J, Domínguez T, Valido Y. Aneurisma de la arteria comunicante anterior. Complicaciones de la vía subfrontal interhemisférica. Rev Cub Med Militar 2003; 32(2):88-93.

4. International Subarachnoid Aneurysm Trial Collaborative Group: International Subarachnoid Aneurysm Trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomized trial. Lancet 2002; (360):1267 -74.

5. The International Study of Unruptured Intracranial Aneurysms Investigators. Unruptured Intracrannial Aneurysms- Risks of rupture and risks of surgical intervention. The New England Journal of Medicine 1998; (339):1725-32.

6. Guerrero F, De la Linde C, Pino, F. Manejo general en cuidados intensivos del paciente con hemorragia subaracnoidea espontánea. Med Int 2008;32(7):342-53.

7. Palacios F, Rocca U, Rosell A. Evaluación del tratamiento quirúrgico de los aneurismas cerebrales. Hospital G. Almenara, 1983-1996. Anales de la Facultad de Medicina Universidad Nacional Mayor de San Marcos ISSN 1025-5583. 1999; 60(2): 93-101.

8. Peña P, Rodas-López M. Comunicado de 62 aneurismas cerebrales clipados en el Hospital Regional Docente Vicente Corral Moscoso de la ciudad de Cuenca, Ecuador. Rev Neurol 2003; 37(5):430-5.

9. Vigueras R, Vigueras S, Luna F. Aneurismas cerebrales. Caracterización de los datos encontrados en un protocolo de seguimiento de un hospital regional. Rev Chil Neuro-psiquiat 2003; 41(2): 111-6.

10. Alemán A, Camacho A, Anoceto J, Amado A, Treto J. Resultados del tratamiento quirúrgico en aneurismas intracraneales múltiples de la circulación anterior. Rev Cubana Cir 2001; 40(3):176-9.

11. Lacerda-Gallardo A, Díaz-Agramonte J, Hernández-Guerra O, Miranda-Rodríguez G. Cirugía de aneurismas intracraneales. Revista Ecuatoriana de Neurología. 2001; 10(1-2). Recuperado el 10 de enero de 2010.

12. González-Darder J, Feliu R, Pesudo J, Borrás J, Gómez R, Díaz C, et al. Tratamiento quirúrgico de los aneurismas de la arteria comunicante posterior basado en un estudio de angio-tac con reconstrucción tridimensional y sin angiografía preoperatoria. Neurología 2003; 14, 207-15.

13. González J, Hernández H, Verdial R. Aneurismas del complejo arteria cerebral anterior / arteria comunicante anterior. Resultado del tratamiento quirúrgico. Rev Cubana Cir 2006;45(1).

14. Platas M, Saez M, Lambre J. Aneurismas de la arteria cerebral anterior distal. Revisión de 17 casos operados. Rev Argent de Neurocir 2007; (21): 181-5.

15. Vega-Basulto S, Silva-Adán S, Mosquera-Betancourt G. Cirugía de los aneurismas de la arteria cerebral anterior distal. Neurocirugía 2003; (14):302-8.