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Outcome of microsurgical clipping of anterior circulation aneurysms during the period of vasospasm: single center experience in Egypt
Faculty
Medicine
Year:
2019
Type of Publication:
ZU Hosted
Pages:
Authors:
Ahmed Mohamed Ihsan Abdallah Elawamry
Staff Zu Site
Abstract In Staff Site
Journal:
Egyptian Journal of Neurosurgery Egyptian Journal of Neurosurgery
Volume:
Keywords :
Outcome , microsurgical clipping , anterior circulation aneurysms
Abstract:
Objectives: Recent guidelines recommend early closure of the ruptured aneurysms. However, this may not be available in all cases especially in developing countries. This may lead to late surgery during the period of vasospasm which may carry a potential surgical risk. The aim of this study is to report our experience of microsurgical clipping during the period of vasospasm for ruptured anterior circulation aneurysms. Methods: This study included 36 patients with ruptured anterior circulation aneurysms treated with microsurgical clipping “between January 2014 and December 2016”. All patients were operated during the period of vasospasm. We retrospectively reviewed our medical files for any operative complications, any evidence for clinical vasospasm and postoperative ischemia, and for the patients outcome. Results: Majority of patients were in good World Federation of Neurosurgeons (WFNS) Grades. Thirty (83.3%) were grades I–III. All the procedures completed successfully except in three patients who had an intraoperative rupture. Clinical vasospasm was reported in 8 (22.2%) of the patients. Favorable outcome was reported in 31 (86.1%) patients. We had only one (2.8%) perioperative mortality from aggravated vasospasm. Conclusions: Microsurgical clipping of the ruptured anterior circulation aneurysms can be done safely during the period of vasospasm without devastating complications. Securing the aneurysm in patients with late referral in developing countries should be done to prevent rebleeding and to allow for the 3H therapy application safely.
Author Related Publications
Ahmed Mohamed Ihsan Abdallah Elawamry, "Role of preoperative computed tomography angiographic anatomical considerations and their intraoperative interpretations in prediction of outcome in microsurgical clipping of ruptured anterior communicating aneurysm", Egyptian Journal of Neurosurgery, 2021
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Ahmed Mohamed Ihsan Abdallah Elawamry, "Relentless pulsatile tinnitus secondary to dural sinovenous stenosis: is endovascular sinus stenting the answer?", Clinical Radiology, 2021
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Ahmed Mohamed Ihsan Abdallah Elawamry, "Posterior and postero-lateral incidental durotomy during lumbar spine surgery: primary repair versus augmented primary repair", Egyptian Journal of Neurosurgery, 2021
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Ahmed Mohamed Ihsan Abdallah Elawamry, "The Frequency and Risk Factors for Cranial Facet Joint Violation during Pedicle Screw Instrumentation in Lumbar Spine Disorders", Egy Spine J, 2021
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Ahmed Mohamed Ihsan Abdallah Elawamry, "Outcome of surgical treatment of hepatocellular carcinoma-derived spinal metastases: Single center experience in Egypt", Interdisciplinary Neurosurgery, 2022
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Department Related Publications
Safwaat Abohashem Mohamed Abohashim, "Laparoscopic Revision of the Distally Obstructed Ventriculoperitoneal Shunt", Turkish Neurosurgical Society, 2013
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Safwaat Abohashem Mohamed Abohashim, "Management of Brown-Sequard Syndrome in Cervical Disc Diseases", Turkish neurosurgical society, 2013
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Safwaat Abohashem Mohamed Abohashim, "Endoscopic versus Microscopic Trans-Sphenoidal Approach for Pituitary Adenomas: Retrospective Comparison Study in Single Institution", Egyptian neurosurgical society, 2014
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Safwaat Abohashem Mohamed Abohashim, "Outcome of Laminoforaminotomy for Unilateral Cervical Radiculopathy", MEDC, 2014
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Muntasir Ahmed Abdel Fattah Fouda, "نتائج الازالة الميكرسكوبية لضغط الاوعية الدموية في حالات الشد الوجهى النصفي", لايوجد, 1900
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