Endovascular Treatment of Cerebral Aneurysms Not Presented by Classic Subarachnoid Hemorrhage (First Year Experience by Neurologist)

Khedr, Eman M; Bassiony, Ahmed; Zaky-Eldin, Hany; Fawal, Bastawy; Shoyb, Ahmed

doi:10.21608/ejhm.2019.49260

Endovascular Treatment of Cerebral Aneurysms Not Presented by Classic Subarachnoid Hemorrhage (First Year Experience by Neurologist)

Document Type : Original Article

Authors

¹ Department of Neuropsychiatry, Faculty of Medicine, Assiut University, Assuit, Egypt and the Academic Director of Neuropsychiatry Department, Faculty of Medicine, Aswan University, Aswan

² Department of Neuropsychiatry, Faculty of Medicine, Ain shams University, Cairo

³ Department of Neuropsychiatry, Faculty of Medicine, Aswan University, Aswan, Egypt

10.21608/ejhm.2019.49260

Abstract

Saccular intracranial aneurysms are localized enlargement lesions of the vasculature, most commonly sited at bifurcation points in the circle of Willis. Often they will stay asymptomatic during the life. Its common presentation is rupture that leads to subarachnoid hemorrhage (SAH) but had other presentation as ischemic stroke or compressive symptoms. Material and Methods: we recruited 16 patients with intracranial aneurysm that had presentations other than subarachnoid hemorrhage and was treated by endovascular intervention and evaluated clinically and angiographically before procedure and 3-6 months after procedure Results: the mean age of patients was 5.75±11.1 ranging between 23 – 69 years. 10 patients were females and 6 were males. 7 patients (43.8 %) were hypertensive which was the commonest risk factor in those patients. 6 patients (37.5%) had ICA aneurysm. Conclusion: endovascular therapy of intracranial aneurysms is a safe and effective method of therapy with less morbidity and mortality rates.

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