Intracerebral infarcts following clipping of intracranial aneurysms: incidence, clinical correlation and outcome.

摘要: Subarachnoid hemorrhage (SAH) is a significant health care problem. One of the major determinants outcome following surgery intracranial aneurysms development infarcts. All patients underwent clipping for in one year department neurosurgery, PGIMER, Chandigarh were studied. Data regarding age, sex, date ictus, admission, any co-morbidity, clinical grades at presentation, CT findings, infarcts, intraoperative rupture, and status postoperative period recorded. Outcome discharge was assessed by Glasgow scale (GOS). First, 174 included study. Radiological cerebral infarctions occurred 69 (39%). The most frequent location infarct deep perforator followed ACA territory infarct. 69.58% developed on same side aneurysm 20.28% opposite side, whereas 11% bilateral Infarcts that occur early after may be related to surgical factors late infarcts probably as results delayed ischemic deficits. Anatomical distribution also showed two different patterns, limited vascular (more commonly seen onset infarcts) or multiple, cortical, infarct). Patients with poor H&H grade, higher Fisher's rupture prolonged temporary had more chances developing an