Zagazig University Digital Repository
Home
Thesis & Publications
All Contents
Publications
Thesis
Graduation Projects
Research Area
Research Area Reports
Search by Research Area
Universities Thesis
ACADEMIC Links
ACADEMIC RESEARCH
Zagazig University Authors
Africa Research Statistics
Google Scholar
Research Gate
Researcher ID
CrossRef
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
More
Ahmed Mohamed Ihsan Abdallah Elawamry, "Relentless pulsatile tinnitus secondary to dural sinovenous stenosis: is endovascular sinus stenting the answer?", Clinical Radiology, 2021
More
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
More
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
More
Ahmed Mohamed Ihsan Abdallah Elawamry, "Outcome of surgical treatment of hepatocellular carcinoma-derived spinal metastases: Single center experience in Egypt", Interdisciplinary Neurosurgery, 2022
More
Department Related Publications
Ahmed Hazem Saad Elsayed Soliman, "نتائج تثبيت الفقرات القطنية بالمسامير والقضبان في حالات ازاحة الفقرات مقارنة بنتائج التثبيت بمستطيل لوكس", لايوجد, 1900
More
Ahmed Hazem Saad Elsayed Soliman, "دراسة وجود بروتين ف أ س (أ ب ,-1) في الاورام السرطانية الحرشفية للانف والجيوب النفية", لايوجد, 1900
More
Hassan Abdelsalam Abdelfatah, "التثبيت الجراحى الدلخلي لكسور وتزحزح الفقرات الصدرية والقطنية عقب الاصابة", لايوجد, 1900
More
Hassan Abdelsalam Abdelfatah, "علاج تورم المخ الكاذب باستخدام صمام تنظيم السائل النخاعي من القناة الشوكية القطنية الي التجويف البريوني", لايوجد, 1900
More
Hassan Abdelsalam Abdelfatah, "التقسيم التدريجى للاشعة المقطعية ودرجة غيلب الوعي كمقياس توقفي لاصابات الرأس الشديدة", لايوجد, 1900
More
جامعة المنصورة
جامعة الاسكندرية
جامعة القاهرة
جامعة سوهاج
جامعة الفيوم
جامعة بنها
جامعة دمياط
جامعة بورسعيد
جامعة حلوان
جامعة السويس
شراقوة
جامعة المنيا
جامعة دمنهور
جامعة المنوفية
جامعة أسوان
جامعة جنوب الوادى
جامعة قناة السويس
جامعة عين شمس
جامعة أسيوط
جامعة كفر الشيخ
جامعة السادات
جامعة طنطا
جامعة بنى سويف