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[Multiple intracranial aneurysms in Camagüey, Cuba]
S Vega-Basulto1, S Silva-Adan, R Peñones-Montero
1Servicio de Neurocirugía, Hospital Manuel Ascunce Domenech, Camagüey, Cuba. svega@finlay.cmw.sld.cu
Revista De Neurologia
|August 26, 2003
Summary
Multiple intracranial aneurysms are complex vascular lesions. Microneurosurgery demonstrates good outcomes for these patients, with a high rate of complete recovery and a low mortality rate.
Area of Science:
- Neurosurgery
- Vascular Neurology
Context:
- Multiple intracranial aneurysms, defined as two or more aneurysms in a single patient, present unique clinical challenges.
- Understanding the characteristics and treatment outcomes of these complex lesions is crucial for neurosurgical practice.
Purpose:
- To analyze the clinical characteristics and microneurosurgical outcomes of patients with multiple intracranial aneurysms.
- To evaluate the efficacy and safety of microneurosurgical interventions for multiple aneurysms.
Summary:
- A study of 113 patients with multiple intracranial aneurysms revealed an average age of 46, with 75% being women.
- The majority of aneurysms (252) were in the carotid system, with an average of 2.3 sacs per patient.
- Microneurosurgical clipping achieved a 90% success rate, resulting in 79% complete recovery and a 4.4% mortality rate.
Impact:
- Microneurosurgery provides favorable results for multiple intracranial aneurysms, comparable to sporadic aneurysms.
- Early identification and surgical intervention can significantly improve patient outcomes and reduce long-term disability.