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Microsurgical Clip Obliteration of Middle Cerebral Aneurysm Using Intraoperative Flow Assessment
Published on: September 25, 2009
237 ACoA aneurysms clipped or embolized. Outcomes measurement using the De Santis-CESE assessment tool
A De Santis1, F Carnini, F Costa
1Department of Clinical Sciences 'L. Sacco', Neurosurgery Unit, O. Galeazzi Institute, IRCCS, Milan University, Milan, Italy. antonio.desantis@unimi.it
Journal of Neurosurgical Sciences
|January 8, 2008
Summary
The De Santis-CESE method offers a more sensitive assessment of patient outcomes after bleeding endocranial aneurysm treatment compared to traditional scales. Surgical patients may achieve better results than those treated with embolization.
Area of Science:
- Neurosurgery
- Neurology
- Medical Assessment
Background:
- Bleeding endocranial aneurysms pose significant risks.
- Standard outcome assessment scales may not fully capture patient recovery nuances.
Purpose of the Study:
- To compare patient outcomes after treating bleeding endocranial aneurysms using different assessment methods.
- To evaluate the efficacy of the De Santis-CESE method against established scales.
Main Methods:
- Retrospective analysis of 237 patients with bleeding endocranial aneurysms.
- Comparison of Glasgow Outcome Scale (GOS), Rank Disability Scale (RDS), and the De Santis-CESE method.
- Assessment of surgical versus embolization treatment outcomes.
Main Results:
- The De Santis-CESE method revealed significantly different outcomes compared to GOS and RDS.
- Surgical patients exhibited character and behavioral changes; embolized patients showed cognitive, emotional, and sexual habit changes.
- CESE demonstrated greater sensitivity, particularly for best outcomes.
Conclusions:
- The De Santis-CESE method provides a more sensitive patient outcome assessment for endocranial aneurysms.
- Surgical treatment may lead to better outcomes than endovascular embolization.
- Further prospective studies are warranted to validate these findings.
