Applicative value of CT angiography in emergent operation for ruptured intracranial aneurysm caused intracerebral hematoma

Objective To investigate the applicative value of multislice spiral computed tomography angiography (MSCTA) in the microsurgery of ruptured intracranial aneurysm caused acute intracerebral hematoma. Methods The imaging and clinical data of 15 patients with ruptured intracranial aneurysm caused intracerebral hematomas, whom underwent emergency surgery after preoperative CT angiography (CTA) were analyzed retrospectively.The surgical plan was determined according to the CTA imaging results. The hematomas were evacuated and the aneurysm were clipped.The applicative value of CTA were evaluated.Results All the 15 patients were confirmed as intracranial aneurysms in the operation, which was essentially consistent with the preoperative diagnosis by CTA.The size and growth direction of the aneurysms were essentially consistent with the preoperative judgement, and all the aneurysms were clipped. The prognosis of the patients was assessed by the Glasgow Outcome Scale (GOS).All the patients were followed up by the outpatient department and/or telephone for 6 to 78 months (mean 24 months).The GOS score in 2 patients was 2, in 2 was 3, in 6 was 4, and in 5 was 5.Conclusion Head CTA can briefly and quickly identify the ruptured intracranial aneurysm caused intracerebral hematoma and provide intuitive three-dimensional morphology and anatomical localization of the aneurysms.It is helpful to hematoma evacuation and clipping of the aneurysms in emergency operation.