Tarek Mohamed Hamdy


Fifteen cases of aneurysms were admitted in the neuro-surgical department in Kasr EI-Aini University Hospital. All cases were subjected to full clinical examination, laboratory and neuroradiological studies. The cases were managed by surgery via different approaches either pterionasl trans-Sylvian and retromastoid approaches depending upon multiple factors as the location, direction of the aneurysm, the presence of intraparenchymal haematoma. From the results of this study as well as other studies concerning the posterior circulation aneurysms, the following could be concluded: 1. The commonest site for aneurysms is the basilar bifurcation (51%). 2. The most common configuration encountered is the saccular type. 3. The most common presentation of patients with posterior circulation Aneurysms is SAH. 4. Four-vessel cerebral angiography remains the most important diagnostic tool prior to any surgical intervention. 5. Early surgery and nimodipine treatment m the 15 patients appears to accelerate clearance of blood from the subarachnoid spaces and reduce the incidence of delayed ischaemic neurological deficits (lND), occurring in 20% of good risk patients "clinical grade HI". In addition, early aneurysm repair would safely permit induced hypertension, hypervolaemia which could reverse incipient IND.

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Other Titles علاج حالات التمدد الشريانى للدورة الدموية الخلفية بالمخ
Issue Date 2002

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