Outcome of Neck Clipping for Ruptured Cerebral Aneurysms by Young Neurosurgeon

Abstract

Summary:The favorable surgical result of neck clipping (NC) for ruptured cerebral aneurysms is required even for young neurosurgeons. The results of NC performed by a young neurosurgeon under the supervision of senior neurosurgeons were studied over the last 6 years. The subjects were 32 patients with 34 small aneurysms of anterior circulation (10 males and 22 females) ranging from 27 to 79 years (mean age of 57 years). The location of the aneurysms were 17 of MCA, 13 of ACA and 4 of ICA. Hunt & Hess grade were Grade I to IV without Fisher group 4, and all aneurysms were clipped within 72 hrs of SAH. Outcomes were evaluated by GOS at discharge. Twenty-seven patients (84%) showed favorable outcome (GR MD) and 3 patients (9.3%) died. Two patients had premature rupture during operation. There was no evidence of radiological cerebral contusion or venous infarction. Six patients (18.7%) developed symptomatic vasospasm and 4 patients (12.5%) had hydrocephalus that required VP shunt. Surgical results of NC for ruptured small aneurysm of anterior circulation by a young neurosurgeon are satisfactory under the supervision of senior neurosurgeon.