Surgical Outcome of Patients with Very Small Intracranial Aneurysms: A Single-Center Experience from Southern Iran

Rahmanian, Abdolkarim; Ghaffarpasand, Fariborz; Derakhshan, Nima

doi:10.1016/j.wneu.2016.11.086

Cited by 16 publications

(11 citation statements)

References 34 publications

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“…Accordingly, we could not analyze our database in order to determine the prognostic factors and predictive factors of the outcome in this population. This point should be taken into consideration that our center is the main referral center for cerebrovascular diseases in southern Iran (23,24) and thus this small series might be the largest one in Iran. Second, we did not evaluate the genetic background of the patients.…”

Section: Discussionmentioning

confidence: 99%

Outcome of microsurgical revascularization in patients with moyamoya disease; first report from iranian population

Rahmanian

Masoudi²,

Ghaffarpasand³

et al. 2017

Turkish Neurosurgery

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Section: Discussionmentioning

confidence: 99%

Outcome of microsurgical revascularization in patients with moyamoya disease; first report from iranian population

Rahmanian

Masoudi²,

Ghaffarpasand³

et al. 2017

Turkish Neurosurgery

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“…In the literature, very small intracranial aneurysms are defined as intracranial aneurysms with a diameter smaller than or equal to 3 mm [7][8][9]. Other sources qualify these aneurysms to a group called "baby aneurysms" [10,11].…”

Section: Discussionmentioning

confidence: 99%

Safety and efficacy of treatment of very small intracranial aneurysms

Jamróz¹,

Jakutowicz²,

Hofman³

et al. 2019

Pol J Radiol

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Purpose: Very small intracranial aneurysms (VSIAs) may cause many neurological complications and even death. Thanks to technological progress and higher quality of non-invasive neuroimaging methods, these pathologies can be investigated sooner and treated earlier. Due to the controversy surrounding invasive treatment of these pathologies, the aim of the study was to analyse methods of treatment, their outcome, and complications in a group of patients with VSIAs. Material and methods:Out of 444 cases of intracranial aneurysms treated in our centre, 65 aneurysms met the radiological criteria of VSIAs. The parameters -width and length of the aneurysm's neck and width, length, and height of the aneurysm's dome -were measured. The analysed parameters were as follows: symptoms upon admission and after treatment, days in hospital, and intraoperative complications. Clinical and radiological intensity of subarachnoid haemorrhage (SAH) was evaluated by using the Hunt-Hess and Fisher scales. The degree of embolisation of the aneurysm after the procedure was assessed using the Montreal Scale. Clinical outcome was assessed by Glasgow Outcome Scale.Results: 50.77% of VSIAs were treated with endovascular procedures and 49.23% with neurosurgical clipping. SAH was presented in 38.46% of patients with VSIAs. Intraoperative complications were presented in 16.92% of patients with VSIAs, and the most common complication was ischaemic stroke. Stents were used in 51.52% of VSIAs. In 69.70% of embolisation procedures at VSIAs complete obliteration was achieved. The average result in the Montreal Scale was 1.31 (SD = 0.66). Conclusion:VSIAs can be treated as effectively and safely as larger aneurysms, by both endovascular and surgical methods.

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“…A total of 474 patients with aneurysmal SAH who underwent clipping in Shiraz Namazi Hospital (the main referral neurovascular center of Southern Iran) (11)(12)(13)(14) were included in this cohort study from September 2007 to March 2016. Those with incomplete hospital and outpatient records were excluded.…”

Section: Study Populationmentioning

confidence: 99%

Long-Versus Short-Term Seizure Prophylaxis After Craniotomy for Clipping in Aneurysmal Subarachnoid Hemorrhage; A Retrospective Cohort Study

et al. 2019

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Background: Seizures are quite common following subarachnoid hemorrhage (SAH) and due to increased mortality and morbidity in this setting, thus seizure prophylaxis is introduced as a common neurosurgical practice. Investigations are still ongoing to figure out the most efficient seizure prophylaxis guideline. Objectives: To compare the efficacy of two seizures prophylaxis protocols that have been practiced in a tertiary neurovascular center in Southern Iran through a retrospective cohort analysis Methods: A total of 426 patients who were operated due to aneurysmal SAH between September 2007 and March 2016 were included in this retrospective cohort study. From September 2007 to March 2011 the common practice was prophylaxis with phenytoin for 3 -6 months, which was switched to a shorter 1-month course since March 2011. Seizure control was evaluated in telephoned patients and outpatient records. Results: Out of 426 subjects eligible for this study, 165 (38.7%) took the 1-month (short-term) regimen and 261 (61.3%) took the 3 -6 months (long-term) regimen. Results revealed that achievement of seizure control was similar for both groups in those without perioperative seizures (P = 0.4); however, with perioperative seizures, the short-term protocol had inferior results for seizure control and higher odds (almost 109-fold) for developing post-operative seizures. Conclusions: Although short-term 1-month seizure prophylaxis with phenytoin provides adequate seizure control for most individuals after SAH, perioperative seizures necessitates a longer course of 3 -6 month seizure prophylaxis.

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Surgical Outcome of Patients with Very Small Intracranial Aneurysms: A Single-Center Experience from Southern Iran

Cited by 16 publications

References 34 publications

Outcome of microsurgical revascularization in patients with moyamoya disease; first report from iranian population

Outcome of microsurgical revascularization in patients with moyamoya disease; first report from iranian population

Safety and efficacy of treatment of very small intracranial aneurysms

Long-Versus Short-Term Seizure Prophylaxis After Craniotomy for Clipping in Aneurysmal Subarachnoid Hemorrhage; A Retrospective Cohort Study

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