Vasospasm and re-bleeding after subarachnoid hemorrhage from ruptured intracranial aneurysm are devastating complication that can severely affect the outcome of the patients. We are presenting a series of total number of 224 patients treated and operated at our Department due to subarachnoid hemorrhage, out of which certain number developed vasospasm and re-bleeding. We are evaluating the effect of these complications on the outcome of the patients according to the Glasgow Outcome Scale at the day of discharge. In our experience both vasospasm and ReSAH can significantly influence the outcome of patients with subarachnoid hemorrhage from ruptured intracranial aneurysm.

Intracerebral hematoma and intraventricular hemorrhage can significantly worsen the neurological condition of patients with subarachnoid hemorrhage due to ruptured intracranial aneurysm. They also significantly affect the outcome of this patiens. We present a case in which early surgery had a significant effect on the outcome of this patient. Early decompression of the brain and subsequent clipping of the aneurysm as presented in our case has lead to a successful outcome.

The management of intracranial aneurysms has changed dramatically in recent years. The science and technology advancement have resulted in new therapeutic options for their treatment. There is an increased interest among neurosurgeons to perform endovascular procedures for intracranial aneurysms. This has become a part of the neurosurgical residency in the US. We are presenting our first experience of ruptured aneurysm coiling using stent assisted technique.

ApstraktVoved. Najчesta forma na manifestacija na intrakranijalnite anevrizmi e subarahnoidalnata hemoragija. Metodi. Mnogu чesto postoi dilema za tajmingot za operativna intervencija, odnosno dali pacientite treba da se operiraat vo rana faza (vo prvite 72 ~) ili odlo`eno (dve nedeli po krvaveweto). Mnogu faktori vlijaat na odlukata, nekoi od niv se: nevrolo{kiot status pri priemot, vozrasta, ili eventualnoto prisustvo na intracerebralen hematom. Vo ovoj trud go prika`uvame naшeto iskustvo vo tretmanot na ovie pacienti, kako i faktorite koi vlijaat na odlukata za rana, odnosno odlo`ena operativna intervencija. Rezultati. Analizirani se pet grupi na pacienti spored sostojbata pri priemot. Bea napraveni analizi i sporedba na rano nasproti odlo`eno operiranite pacienti za sekoja grupa poedine~-no. Rezultatite uka`aa na razlika vo ishodot vo sekoja grupa. Zaklu~ok. Vo naшata studija, pacientite koi bea primeni vo dobar gradus i operirani vo rana faza imaa podobri rezultati vo odnos na odlo`eno operiranite.Klu~ni zborovi: subarahnoidalna hemoragija, intrakranijalna anevrizma ___________________________________________ Abstract Introduction. Subarachnoid hemorrhage is unfortunately the most common manifestation of intracranial aneurysms.