Objectives: To evaluate results of cerebral aneurysm surgical clipping. Methods: A retrospective and prospective study. Results: 156 patients with 166 aneurysms were treated by surgical clipping. | Journal of military pharmaco-medicine no8-2018 SURGICAL RESULT OF CEREBRAL ANEURYSM CLIPPING Nguyen Thanh Bac1; Dong Van He2; Nguyen The Hao1; Vu Van Hoe1 SUMMARY Objectives: To evaluate results of cerebral aneurysm surgical clipping. Methods: A retrospective and prospective study. Results: 156 patients with 166 aneurysms were treated by surgical clipping. The patients were divided into two groups: Unruptured and ruptured; with the mean age of ± . Proportion of aneurysms was the highest in anterior communicating artery (); followed by posterior communicating artery (); middle cerebral artery (); internal carotid artery (); middle cerebral artery (); ophthalmic artery (); posterial cerebellar artery (); bifurcation of basilar artery (); vertebral artery (); anterior cerebral artery (); basilar artery () and superior hypophyseal artery was . Glasgow Coma Scale at discharge of hospital was significantly higher in unruptured aneurysm group than in the ruptured one (p = ). The mean Glasgow Coma Scale of unruptured group and ruptured group were ± and ± , respectively. The average of both groups was ± . According to Modified Rankin Scale, at hospital discharge, the results were as followed: good , average , bad , dead . There were no statistically significant differences between the two groups with p = . For far results, there was no difference in Modified Rankin Scale between the unruptured and ruptured aneurysm group, with a good outcome of , an average of , negative , and dead was . With Digital dubtraction angiography postoperation, results showed that the incidence of aneurysm was , the residual rate of the aneurysm was , the occlusion of the aneurysm was and the carotid artery obstruction the bulge was . Conclusion: Aneurysm clipping surgery is still a selected method that brings good results for intracranial artery .
