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Date Published: 13/09/2021
Abstract Views: 289
Views PDF: 179
DOI: https://doi.org/10.51298/vmj.v505i2.1114
Issue
Vol. 505 No. 2 (2021)
Section
Các bài báo
How to Cite
Hữu Hưng, N. ., Thế Hào, N. ., & Thọ Lộ, N. . (2021). TO DESCRIBLE CLINICAL,RADIOLOGICAL FEATURES, AND VALUATE INDICATION OF MINIMALLY INVASIVE MICROSURGERY IN TREATMENT FOR RUPTURED INTERNAL CAROTID ARTERY ANEURYSMS. Vietnam Medical Journal, 505(2). https://doi.org/10.51298/vmj.v505i2.1114

TO DESCRIBLE CLINICAL,RADIOLOGICAL FEATURES, AND VALUATE INDICATION OF MINIMALLY INVASIVE MICROSURGERY IN TREATMENT FOR RUPTURED INTERNAL CAROTID ARTERY ANEURYSMS

Nguyễn Hữu Hưng1,, Nguyễn Thế Hào2, Nguyễn Thọ Lộ3
1 Military Hospital 17 (Military Region 5)
2 Bach Mai Hospital
3 Vietnam Military Medical University

Main Article Content

Abstract

Objective: To describle clinical, radiological features, and evaluate indication of minimally invasive microsurgical treatment for ruptured internal carotid artery aneurysms. Methods: This cross-sectional prospective study included 72 patients who were brought to Bach Mai Hospital for ruptured internal carotid artery aneurysms, between 9/2015 and 9/2018. Results and conclusion:female/ male:35/37; mean age 55,98 ± 8,96. The warning headache occur in 8,33%. Clinial symptoms: thunderclap headache and sudden in onset (98,61%), nausea and vomiting (58,33%), seizure (4,17%), fear of light (4,17%), loss of awareness (2,78%). Decline in consciousness (25%),meningeal syndrome (81,94%), focal neurological signs (9,72%). 66,67% patients were in clinical grade I, 23,61% in grade II,and 9,72% in grade III. On CTscan, 8,33% hemorrhage in grade 1, 19,44% in grade 2, 72,22% in grade 3. 48,61% aneurysms located on anterior communicating artery and 16,67% aneurysms located on middle cerebral artery, 29,17% aneurysms located on posterior communicating artery, 4,17% aneurysms located on anterior choroidal artery, 1,39% aneurysms located on carotid terminus (bifurcation). Indication of minimally invasive microsurgical treatment for ruptured internal carotid artery aneurysms with clinical grade I-III, hemorrhage in grade 1-3 and size aneurysms ≤ 10mm.

Article Details

Keywords

cerebral ruptured aneurysms, minimally invasive surgery, subarachnoid hemorrhage

References

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