Journal of Cerebrovascular and Endovascular Neurosurgery

Korean Society of Cerebravascular Surgeons (대한뇌혈관외과학회)
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Analysis of Clinical Outcome and Complications After Microsurgical Clipping of Unruptured Paraclinoid Aneurysms

침상돌기 주변 비파열성 뇌동맥류 결찰술의 결과 및 합병증에 대한 분석

  • Oh, Sun-Kyu (Department of Neurological Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Jang, In-Seok (Department of Neurological Surgery, Korea Institute of Radiological and Medical Sciences) ;
  • Ahn, Jae-Sung (Department of Neurological Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kwon, Do-Hoon (Department of Neurological Surgery, Asan Medical Center, University of Ulsan College of Medicine) ;
  • Kwun, Byung-Duk (Department of Neurological Surgery, Asan Medical Center, University of Ulsan College of Medicine)
  • 오선규 (울산대학교 의과대학 서울아산병원 신경외과학교실) ;
  • 장인석 (한국원자력의학원 원자력병원 신경외과학교실) ;
  • 안재성 (울산대학교 의과대학 서울아산병원 신경외과학교실) ;
  • 권도훈 (울산대학교 의과대학 서울아산병원 신경외과학교실) ;
  • 권병덕 (울산대학교 의과대학 서울아산병원 신경외과학교실)
  • Published : 2010.09.30
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Abstract

Objective : The study reports the clinical outcomes and complication rates of microsurgical clipping of unruptured paraclinoid aneurysms. Methods : From July 1997 to December 2008, 61 patients underwent microsurgical clipping for 61 unruptured paraclinoid aneurysms in our institute. Entire medical records, radiographic data, and operation records were reviewed retrospectively. Results : After the microsurgical clipping, complete obstruction was achieved in 56 patients (91.8%). Visual disturbance (nine cases, 14.8%) was the most frequent complication. Overall, 59 patients (96.7%) had a good long-term outcome (Glasgow outcome scale score of 4-5 3 months post-operatively). Conclusion : For patients with paraclinoid aneurysms, satisfactory outcomes can be achieved by microneurosurgical management. These results will be useful when considering treatment of an unruptured paraclinoid aneurysm.

Keywords

References

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