TY - JOUR
T1 - Surgical treatment of intracranial aneurysms
T2 - Six-year experience in Belo Horizonte, MG, Brazil
AU - Batista Da Costa, Leodante
AU - Vilela De Morais, Josaphat
AU - De Andrade, Agustinho
AU - Duarte Vilela, Marcelo
AU - Campolina Pontes, Renato P.
AU - Perocco Braga, Bruno
PY - 2004/6
Y1 - 2004/6
N2 - Spontaneous subarachnoid hemorrhage accounts for 5 to 10% of all strokes, with a world-wide incidence of 10.5/100000 person/year, varying in individual reports from 1.1 to 96/100000 person/year. Angiographic and autopsy studies suggest that between 0.5% and 5% of the population have intracranial aneurysms. Approximately 30000 people suffer aneurysmal subarachnoid hemorrhage in the United States each year, and 60% die or are left permanently disabled. We report our experience in the surgical treatment of intracranial aneurysms in a six year period, in Belo Horizonte, Minas Gerais, Brazil. We reviewed the hospital files, surgical and out-patient notes of all patients operated on for the treatment of intracranial aneurysms from January 1997 to January 2003. Four hundred and seventy-seven patients were submitted to 525 craniotomies for treatment of 630 intracranial aneurysms. The majority of patients were female (72.1%) in the fourth or fifth decade of life. Anterior circulation aneurysms were more common (94.4%). The most common location for the aneurysm was the middle cerebral artery bifurcation. The patients were followed by a period from 1 month to 5 years. The outcome was measured by the Glasgow Outcome Scale (GOS). At discharge, 62.1% of the patients were classified as GOS 5, 13.9% as GOS 4, 8.7% as GOS 3, 1.7% as GOS 2 and 14.8% as GOS 1.
AB - Spontaneous subarachnoid hemorrhage accounts for 5 to 10% of all strokes, with a world-wide incidence of 10.5/100000 person/year, varying in individual reports from 1.1 to 96/100000 person/year. Angiographic and autopsy studies suggest that between 0.5% and 5% of the population have intracranial aneurysms. Approximately 30000 people suffer aneurysmal subarachnoid hemorrhage in the United States each year, and 60% die or are left permanently disabled. We report our experience in the surgical treatment of intracranial aneurysms in a six year period, in Belo Horizonte, Minas Gerais, Brazil. We reviewed the hospital files, surgical and out-patient notes of all patients operated on for the treatment of intracranial aneurysms from January 1997 to January 2003. Four hundred and seventy-seven patients were submitted to 525 craniotomies for treatment of 630 intracranial aneurysms. The majority of patients were female (72.1%) in the fourth or fifth decade of life. Anterior circulation aneurysms were more common (94.4%). The most common location for the aneurysm was the middle cerebral artery bifurcation. The patients were followed by a period from 1 month to 5 years. The outcome was measured by the Glasgow Outcome Scale (GOS). At discharge, 62.1% of the patients were classified as GOS 5, 13.9% as GOS 4, 8.7% as GOS 3, 1.7% as GOS 2 and 14.8% as GOS 1.
KW - Aneurysm
KW - Stroke
KW - Subarachnoid hemorrhage
UR - http://www.scopus.com/inward/record.url?scp=2642515739&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=2642515739&partnerID=8YFLogxK
U2 - 10.1590/s0004-282x2004000200010
DO - 10.1590/s0004-282x2004000200010
M3 - Article
C2 - 15235725
AN - SCOPUS:2642515739
SN - 0004-282X
VL - 62
SP - 245
EP - 249
JO - Arquivos de Neuro-Psiquiatria
JF - Arquivos de Neuro-Psiquiatria
IS - 2 A
ER -