Qing Huang
Vice director of Neurosurgery department, Director of interventional neuroradiology department, Director of NICU,
Title: Treatment experience of ruptured posterior circulation aneurysms in acute period
Biography
Biography: Qing Huang
Abstract
Objective: To analysis the operative treatment of ruptured posterior circulation aneurysms in acute period. Methods: Retrospective analysis the clinical materials of 11 cases with 13 posterior circulation aneurysms in acute period of subarachnoid hemorrhage(SAH), which were management in our department during January,2014 to August, 2015. Including 2 aneurysms on the tip of basilar artery, one aneurysm of basilar-posterior cerebral artery, 5 aneurysms of posterior cerebral artery, one aneurysm of superior cerebellar artery, one aneurysm of anterior inferior cerebellar artery, 3 aneurysms of posterior inferior cerebellar artery. 2 cases were arteriovenous malformation(AVM) with blood flow correlation aneurysms, one case was moyamoya disease with blood flow correlation aneurysm. Four cases were treated by microsurgery clipping, four cases were treated by endovascular embolization, and the other three cases were treated by endovascular embolization plus microsurgery clipping. Results: The operations were successfully finished in all cases. The grades of Glasgow Outcome Scale(GOS) were evaluated after one month of operation, and 5 cases with grade 5, 4 cases with grade 4, one case with grade 3, one case with grade 1.Conclusion: Individualized treatment should be used in ruptured posterior circulation aneurysms. The relatively satisfactory curative effects could be achieved in both of the two methods, endovascular embolization and microsurgery clipping. But very poor prognosis would be received in ruptured posterior circulation aneurysms with high grade of Hunt-Hess scale.
Key words: posterior circulation aneurysms; acute period; microsurgery clipping; endovascular embolization