Clinical features and effects of intravascular intervention of expanded aneurysm on the broken tentorium

To describe the clinical features and effects of intravascular intervention of expanded aneurysm on the broken tentorium. Subjects and methods: Cross-sectional descriptive study of 65 patients, who were diagnosed with expanded aneurysm on the broken tentorium at 115 People’s Hospital from January 2011 to August 2017. | Journal of military pharmaco-medicine no9-2018 CLINICAL FEATURES AND EFFECTS OF INTRAVASCULAR INTERVENTION OF EXPANDED ANEURYSM ON THE BROKEN TENTORIUM Nguyen Duy Thanh1; Nguyen Hung Minh2; Vu Van Hoe2 SUMMARY Objectives: To describe the clinical features and effects of intravascular intervention of expanded aneurysm on the broken tentorium. Subjects and methods: Cross-sectional descriptive study of 65 patients, who were diagnosed with expanded aneurysm on the broken tentorium at 115 People’s Hospital from January 2011 to August 2017. Results: The most common age was from 40 to 60 years old (). Women had a higher incidence of disease than men (); for prevalence of high blood pressure, clinical symptoms included sudden headache of , vomiting of and nausea of , meningitis of , sensory impairment of , seizures of , focal neurology of , drooping eyelid of 62% and language disorders of . Clinical symptoms at the time of hospitalization: for Hunt-Hess level I, for level II, for level III and 6% for level IV. Treatment of expanded aneurysm on the broken tentorium with coils and insertion ball had 29 cases (45%), obstruction with coils and stents had 34 cases (52%) and change in flow had 2 cases (3%). Total obstruction was 87%, partial obstruction was 5%, change in flow was 3% and failure was 5%. Right ventricle dilatation with VP shunt was 1 case, pneumonia was 9 cases and residual aneurysm was 1 case. These results were assessed in Glasgow, positive at 71%, negative at 25% and mortality at 5%. According to Hunt-Hess I - III, 46/65 patients were positive at , and Hunt-Hess IV - V were negative at . * Keywords: Intracranial aneurysm; Hemorrhagic meningine; Clinical features; Intravascular intervention. INTRODUCTION Intracranial aneurysm is a common system of cerebral arteries. Intracranial aneurysm accounted for 1 to 8% [5] of the population, most of the intracranial aneurysms were detected after

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