Clinical Research
Prognostic observation of endovascular embolization for high grade intracranial aneurysms after conservation treatment
Gen Zhou, Yanzhao Li, Dongfeng Deng, Bin Dong, Xuxin Zhang, Qun Liu, Guowei Xu
Published 2018-12-15
Cite as Chin J Brain Dis Rehab (Electronic Edition), 2018, 08(1): 33-36. DOI: 10.3877/cma.j.issn.2095-123X.2018.01.008
Abstract
ObjectiveTo observe the prognosis of patients with Hunt-hess lV-V grade of intracranial saccular aneurysms who were treated with conservative therapy.
MethodsThe clinical date of 64 patients with Hunt-Hess grade Ⅳ-Ⅴ intracranial saccular aneurysm (grade Ⅳ, n=48 and grade Ⅴ, n=16) admitted to Fist Department of Neurosurgery of Affiliated Zhongshan Hospital of Dalian University from January 2012 to December 2017 were analyzed retrospectively. Thirty two cases of them were treated with conservative therapy in which the state of consciousness was better than before or the pupil was smaller than before,and then they were treated with embolization and continuous lumbar drainage(postpone surgery group) and 32 underwent emergency embolization and continuous lumbar drainage(immediate surgery group). The neurological prognosis of the patients was evaluated at 1, 3 and 6 months.
ResultsThere was no significant difference in Glasgow outcome scores between the postpone surgery group and immediata surgery group at one month after treatment (P>0.05); there was no significant difference in Rankin prognostic scores at three months after treatment (P>0.05); But there was significant difference in Rankin prognostic scores at six months after treatment between the two groups (P<0.05).
ConclusionPatients with high grade cystic aneurysmal subarachnoid hemorrhage can be treated with conservation treatment. When patients were treated with conservative therapy in which the state of consciousness was better than before or the pupil was smaller than before,endovascular embolization and continuous lumbar drainagemay be performed. The prognosis at six months is better than emergency embolization and continuous lumbar drainage.
Key words:
High grade subarachnoid hemorrhage; Intracranial aneurysms; Endovascular embolization
Contributor Information
Gen Zhou
Fist Department of Neurosurgery, Affiliated Zhongshan Hospital of Dalian University, Dalian 116001, China
Yanzhao Li
Fist Department of Neurosurgery, Affiliated Zhongshan Hospital of Dalian University, Dalian 116001, China
Dongfeng Deng
Fist Department of Neurosurgery, Affiliated Zhongshan Hospital of Dalian University, Dalian 116001, China
Bin Dong
Second Department of Neurosurgery, The First Affiliated Hospital of Dalian Medical University, Dalian 116011, China
Xuxin Zhang
Fist Department of Neurosurgery, Affiliated Zhongshan Hospital of Dalian University, Dalian 116001, China
Qun Liu
Second Department of Neurosurgery, The First Affiliated Hospital of Dalian Medical University, Dalian 116011, China
Guowei Xu
Fist Department of Neurosurgery, Affiliated Zhongshan Hospital of Dalian University, Dalian 116001, China
