Pre-and Post-operative Management of Ruptured Intracranial Aneurysms

Sayed Taber El-Sabbagh;

Abstract


Intracranial saccular aneurysms represent the most common etiology of non-traumatic SAH. The incidence of unruptured aneurysms is 1% in the general population and it peaks in the seventh decade.

Saccular intracranial aneurysms consist of an arterial outpouching and occur at the bifurcation of proximal arteries at the base of the brain. The mean age for ruptured saccular aneurysms is in the mid 50 year range with a slight female preponderance.

Multiple saccular aneurysms occur in 15 - 30% of cases. Anterior circulation aneurysms represent 90% of cases.

Asymptomatic saccular aneurysms rupture at a rate of
1-2% per year. The natural history of intracranial aneurysms is dramatically altered once rupture occurs. The mortality rate during the first week following SAH was found to be 27%.

Aneurysmal SAH . has resulted in a high rate of mortality and severe neurological impairment for many of the survivors. In addition to the central nervous system other organs including cardiovascular, respiratory and endocrinal systems can be affected by rupture of cerebral aneurysms.


Other data

Title Pre-and Post-operative Management of Ruptured Intracranial Aneurysms
Other Titles العلاج ماقبل ومابعد الجراحة فى حالات انفجار تمدد موضعى لشريان من شرايين المخ
Authors Sayed Taber El-Sabbagh
Issue Date 2001

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