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Aneurysm surgery in Pakistan.

I A Raja1, M A Javaid

  • 1Department of Neurosurgery, King Edward Medical College and General Hospital, Lahore, Pakistan.

Neurologia Medico-Chirurgica
|May 11, 1999
PubMed
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This study investigated intracranial aneurysms in Pakistan, finding they affect both sexes equally with a peak incidence in the 41-50 age group. Early diagnosis and referral for subarachnoid hemorrhage are crucial.

Area of Science:

  • Neurosurgery
  • Neurology
  • Epidemiology

Background:

  • Intracranial aneurysms pose a significant health risk, particularly subarachnoid hemorrhage (SAH).
  • Limited data exists on aneurysm incidence and outcomes in Pakistan, a country with a large population and few specialized neurosurgical centers.

Purpose of the Study:

  • To determine the incidence and outcomes of surgically treated intracranial aneurysms in Pakistan.
  • To analyze patient demographics, aneurysm locations, and presentation patterns.

Main Methods:

  • Retrospective data collection from Pakistani neurosurgical centers (1994-1996).
  • Analysis of 350 patients presenting with subarachnoid hemorrhage (SAH).
  • Diagnosis confirmed via CT scans and lumbar punctures; angiography used for aneurysm confirmation.

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Main Results:

  • 240 patients had intracranial aneurysms; equal incidence in males (51%) and females (49%).
  • Mean age was 40.5 years, peaking between 41-50 years.
  • Anterior communicating artery was the most common site (50%); operative mortality was 10% with 49% achieving good outcomes at 3 months.

Conclusions:

  • Intracranial aneurysms in Pakistan affect both sexes equally, with a predilection for the 41-50 age group and the anterior communicating artery.
  • Subarachnoid hemorrhage (SAH) is the primary presentation, highlighting its status as a neglected stroke type in Pakistan.
  • Enhanced education for medical professionals is vital for early SAH diagnosis and timely referral to specialized neurosurgical facilities.