The prognostic value of emergency microsurgical clipping of ruptured anterior circulation aneurysms.

IF 1.3 4区医学 Q4 CLINICAL NEUROLOGY

Journal of neurosurgical sciences Pub Date : 2024-07-01 DOI:10.23736/S0390-5616.24.06236-2

Biagia LA Pira, Giancarlo D'Andrea, Paolo Ferroli, Melina Castiglione, Giovanni Pennisi, Giulio Maira, Placido Bruzzaniti

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引用次数: 0

Abstract

Background: The treatment of aneurysmal subarachnoid hemorrhage poses a formidable challenge, given the high mortality rate and associated mortality. Current recommendations are for treatment to be initiated within 24 hours of diagnosis.

Methods: In our study, we compared a cohort of 66 patients who received prompt microsurgical treatment within 6 hours of diagnosis with a cohort of 51 patients who received prompt microsurgical treatment within 12 hours of diagnosis.

Results: The modified Rankin Scale was utilized to evaluate the follow-up of patients at 30 days, 12 months, and 18 months following surgery. We performed a parametric comparison of the distributions of the means of groups, and our results indicate that treatment within 6 hours of diagnosis results in a lower incidence of obstructive hydrocephalus and a more favorable outcome.

Conclusions: A favorable outcome was observed in patients who were treated within 6 hours. The availability of a specialized vascular team ensures the highest levels of care.

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对破裂的前循环动脉瘤进行紧急显微外科夹闭手术的预后价值。

背景：鉴于动脉瘤性蛛网膜下腔出血的高死亡率和相关死亡率，治疗动脉瘤性蛛网膜下腔出血是一项艰巨的挑战。目前的建议是在确诊后 24 小时内开始治疗：在我们的研究中，我们将在确诊后 6 小时内及时接受显微外科治疗的 66 例患者与在确诊后 12 小时内及时接受显微外科治疗的 51 例患者进行了比较：采用改良兰金量表评估患者术后30天、12个月和18个月的随访情况。我们对各组平均值的分布进行了参数比较，结果表明，在确诊后 6 小时内接受治疗的患者梗阻性脑积水发生率较低，预后较好：结论：在 6 小时内接受治疗的患者预后良好。专业血管团队的存在确保了最高水平的护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of neurosurgical sciences CLINICAL NEUROLOGY-SURGERY

CiteScore

3.00

自引率

5.30%

发文量

202

审稿时长

>12 weeks

期刊介绍： The Journal of Neurosurgical Sciences publishes scientific papers on neurosurgery and related subjects (electroencephalography, neurophysiology, neurochemistry, neuropathology, stereotaxy, neuroanatomy, neuroradiology, etc.). Manuscripts may be submitted in the form of ditorials, original articles, review articles, special articles, letters to the Editor and guidelines. The journal aims to provide its readers with papers of the highest quality and impact through a process of careful peer review and editorial work.