Research Article
A Study of Outcome of Patients with Ruptured Intracranial Aneurysm Treated by Endovascular Embolization
Sharma N* and Sharma MS
Department of Radiodiagonisis, SRMS-IMS, India
*Corresponding author: Sharma N, Department of Radiodiagonisis, SRMS-IMS, Bhojipura, Bareilly, India
Copyright: © 2019 Sharma N, et al. This is an open access article distributed under the Creative Commons Attribution
License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is
properly cited.
Article Information: Submission: 10/07/2019; Accepted: 26/08/2019; Published: 28/08/2019
Abstract
Introduction: In India, in the past 15 years, the growth of neurosurgery has been very rapid and a large number of neurological interventions are being
attempted. The procedure of cerebral angiography has been widely accepted , But, the diagnosis of intra-cranial aneurysms is much less frequently made in
India as compared to the western countries despite out current population of 132.42 crore.
Aims and objectives: To study outcome of patients with intracranial aneurysm treated by endovascular embolization.
Methodology: This was Prospective study carried out at database of all neuro-interventional cases performed by the interventional neurology team at
AVBRH, Sawangi, Wardha in 6 Months period i.e. April 2018 to September 18 were included for the study. In the six month period there were 25 patients
undergone for intracranial embolization for various types of intracranial aneurysm. All ages, both sexes were selected by non-probability sampling method.
All patients with ruptured intracranial aneurysms were treated by endovascular treatment. The statistical analysis was done by SPSS 19 version software.
Result: The majority of the patients were in the age group of 40-50 were 36% followed by 50-60 were 28%, 30-40 were 20%, >60 were 12%. The majority
of the patients were Male i.e. 68% followed by Female 32%. The most common symptoms were Headache in 76% followed by, Vertigo in 68%, Seizure In
44%, Tinnitus in 36%, Blurred image in 32%, Difficulty in speaking in 20%, Photophobia In 12%. The majority of the patients were having the GCS in 9-12 were
48%, followed by 12-15 were 28%, 6-9 were 16%, 3-6 were 8%. The average Fisher grade was 13± 3.21, Modified Rankin Scale was 14.32± 2.91, Hunt and
Hess Classification was 12.89 ± 3.92. In our study we have seen that 56% has Cure, 32% no cure and 12% patients lost, the cure was highest to Ist session
i.e. 28%, followed by IInd 12%, at 0; 8%. The majority patients get cure in Ist session as compared others, this observed difference was statistically significant
(χ2 = 6.17,df=1, p<0.013).
Conclusion: It can be concluded from our study that The majority of the patients were in the age group of 40-50 were, The most common symptoms were
Headache followed by, Vertigo Seizure, Tinnitus etc. The overall cure rate was 56% and the majority patients get cure in Ist session as compared others, so it
seems that this procedure is safe and should be performed whenever the intervention is indicated in the patients.
