Early Microsurgery for Ruptured Intracranial Aneurysm

Objective To summarize the experiences in treating intracranial aneurysms with microsurgery early after the rupture. Methods The clinical data of 126 intracranial aneurysms patients with subarachnoid hemorrhage (SAH), who underwent microsurgery early (within 3 days) after the rupture in our hospital from January, 2006 and November, 2008, were analyzed retrospectively. Of 135 intracranial aneurysms in 126 patients, 130 were clipped and 5 wrapped. Results According to GOS, of 126 patients with intracranial aneurysms, 106 were recovered well, 4 were moderately disabled, 8 were severely disabled, 3 vegetatively survived, and 5 died after the surgery. Conclusions Skillful microsurgical technique is highly important to enhancing the success rate of microsurgery for intracranial aneurysms. Once the definite diagnosis is made, the operation should be performed as early as possible in the patients with intracranial aneurysms. Early microsurgery for ruptured intracranial aneurysms can decrease reblooding, disabled rate and mortality.