Outcome of patients of subarachnoid hemorrhage due to ruptured anterior communicating artery aneurysm after surgical clipping

ABSTRACT

This prospective study was done to determine the outcome of subarachnoid haemorrhage [SAH] due to ruptured anterior communicating artery [a Corn] aneurysm in 8 consecutive patients after craniotomy and clipping of the aneurysm. The study was conducted at Mayo Hospital, Lahore from September 1999 to January 2002. All patients presented with history and examination suggestive of SAH had CT scan brain as first radiological investigation. Patients of SAH were graded clinically according to Hung and Hess scale. After confirmation of diagnosis of SAH, four vessels cerebral angiography was done to localize site of aneurysm in patiens of Hunt and Hess grade I, II and III or after they improved to at least grade III. Craniotomy and clipping of aneursm was done only in patients with Hunt and Hess grade I, II and III. Maximum patients presented during 6th decade i.e., 38%. Male to female ratio was 62. Hunt and Hess grade I, II and III was observed in 5,2 and 1 patients respectively. Outcome was assessed according to G lasgow Outcome Scale [GOS]. Good outcome was present in 75% patients and moderate disability in 25%