Abstract
Background: Microsurgical clipping continues to be the benchmark treatment for managing intracranial aneurysms. Evaluating outcomes at the institutional level is crucial for identifying modifiable factors that can improve surgical success, especially in areas with limited resources where patients often present late due to lack of awareness. This study reviews our center's experience with the surgical management of ruptured intracranial aneurysms.
Materials and Methods: This retrospective analysis includes 40 patients with ruptured intracranial aneurysms who underwent clipping surgery at the Department of Neurosurgery, UPUMS, Saifai. All patients received comprehensive neurological assessments and continuous monitoring of vital signs. The study summarizes surgical outcomes and clinical progression following treatment.
Results: Among the 40 patients treated, 28 were female and 12 were male, showing a female-to-male ratio of 2.3:1. Most cases occurred in patients in their 50s and 60s. Headache with vomiting was the most frequent presenting symptom. The majority of patients were categorized as Hunt and Hess grade 2, and World Federation of Neurological Surgeons (WFNS) grade 1. On the Modified Fisher scale, most patients fell into grade 1, followed by grade 3. The anterior communicating artery (AComA) was the most common aneurysm location, followed by the middle cerebral artery (MCA).
Conclusion: There was a marked female predominance among the cases. AComA aneurysms were the most frequently encountered. Favorable outcomes were more likely in patients who received early intervention and did not experience intraoperative aneurysm rupture, highlighting the importance of timely and careful surgical management.
