Objective evaluation of the treatment methods of intracranial aneurysm surgery

Abstract

Objective: This study evaluated the clinical value of craniotomy and intravascular embotherapy in the treatment of intracranial aneurysms. Methods: The clinical data of 126 cases of intracranial aneurysms from July 2008 to July 2009 was analyzed retrospectively, 86 cases of all were clipped and other 40 cases were coiled. Results: In 86 cases with craniotomy (according to Hunt-Hess classification, 71 cases belong to grade I-III and 15 cases belong to grade IV-V), 1 case died, 3 cases recovered with serious nervous system symptoms, 9 cases recovered with Mild neurological symptoms, and the remaining 73 cases recovered with normal life and work. In 40 cases with intravascular embotherapy (according to Hunt-Hess classification, 33 cases belong to grade I-III and 7 cases belong to grade IV-V), 2 cases recovered with serious nervous system symptoms, 5 cases recovered with mild neurological symptoms, the remaining 33 cases recovered with normal life and work; no death case. Conclusions: The situation is different in patients according to aneurysm size, shape, and location; if treatment for intracranial aneurysms is to achieve a satisfactory effect, two treatments must complement each other. © Springer-Verlag/Wien 2011.