Management of intracranial aneurysm review of subarachnoid haemorrhage

ABSTRACT

We present a series of 25 cases of subarachoid haemorrhage [SAH] managed at the neurosurgical department of Allied Hospital, Faisalabad. They were between 12 to 70 years of age. Among these 16 were female and 9 male patients. All these patients were clinically graded according to Hunt and Hess classification. Every patient had coaxial tomographic [CT] scanning. Eleven patients [44%] had lumbar puncture prior to their admission. Cerebral angiography was performed in all grade 0, I and II patients. Initially all these patients were treated conservatively. Surgery was performed on 10 [40%] patients on or after 10th day of ictus. Mortality in conservatively treated group was 66% where as it was 0% in operated group with 90% functional recovery. Only one patient deteriorated postoperatively