ISSN: 1859 - 2872
Microsurgery cerebral aneurysm in Quang Ninh Provincial General Hospital: Challenges and results
Main Article Content
Keywords
Intracranial aneurysms, microsurgery, Quang Ninh.
Abstract
Objective: To evaluated the outcomes of intracranial aneurysmal microsurgery at Quang Ninh Provincial General Hospital. Subject and method: A prospective study of 42 patients with cerebral aneurysms who underwent surgery at Quang Ninh Provincial General Hospital from January 2023 to June 2025. Result: WFNS clinical grade 1-3: 59.5%, WFNS clinical grade 4-5: 40.5%, ruptured aneurysms: 87.1%, Aneurysm locations: M1 and ICA (33.3%), the ACoA (28.6%), Fisher grade 4: 54.8%, Good outcomes (mRS 0-2): 66.7%. Conclusion: Microsurgery for cerebral aneurysms is an effective and safe treatment method that has been routinely performed despite challenges at Quang Ninh Provincial General Hospital.
Article Details
References
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8. Goertz L, Kabbasch C, Styczen H et al (2021) Impact of aneurysm morphology on aneurysmal subarachnoid hemorrhage severity, cerebral infarction and functional outcome. Journal of Clinical Neuroscience 89: 343-348.
9. Hoh BL, Ko NU, Amin-Hanjani S et al (2023) 2023 guideline for the management of patients with aneurysmal subarachnoid hemorrhage: A guideline from the American Heart Association/American Stroke Association. Stroke 54(7): 314-370.
10. D’Andrea G, Picotti V, Familiari P, Barbaranelli C, Frati A, Raco A (2020) Impact of early surgery of ruptured cerebral aneurysms on vasospasm and hydrocephalus after SAH: our preliminary results. Clinical Neurology and Neurosurgery 192:105714.
2. Yao Z, Hu X, Ma L, You C, He M (2017) Timing of surgery for aneurysmal subarachnoid hemorrhage: a systematic review and meta-analysis. International Journal of Surgery 48: 266-274.
3. Hưởng NĐ, Huyền PTT, Quý NH (2023) Kết quả bước đầu điều trị phình mạch não vỡ bằng vi phẫu thuật kẹp cổ túi phình tại Bệnh viện Trung ương Thái Nguyên. Tạp chí Y học Việt Nam 533(1).
4. Sheth SA, Hausrath D, Numis AL, Lawton MT, Josephson SA (2014) Intraoperative rerupture during surgical treatment of aneurysmal subarachnoid hemorrhage is not associated with an increased risk of vasospasm. Journal of neurosurgery. 2014;120(2):409-414.
5. Konovalov A, Shekhtman O, Pilipenko Y et al (2021) External ventricular drainage in patients with acute aneurysmal subarachnoid hemorrhage after microsurgical clipping: Our 2006-2018 experience and a literature review. Cureus 13(1).
6. Vandenbulcke A, Messerer M, Daniel RT, Cossu G (2023) The role of cisternostomy and cisternal drainage in the treatment of aneurysmal subarachnoid hemorrhage: A comprehensive review. Brain Sciences 13(11):1580.
7. Garvayo M, Messerer M, Starnoni D et al (2022) The positive impact of cisternostomy with cisternal drainage on delayed hydrocephalus after aneurysmal subarachnoid hemorrhage. Published online.
8. Goertz L, Kabbasch C, Styczen H et al (2021) Impact of aneurysm morphology on aneurysmal subarachnoid hemorrhage severity, cerebral infarction and functional outcome. Journal of Clinical Neuroscience 89: 343-348.
9. Hoh BL, Ko NU, Amin-Hanjani S et al (2023) 2023 guideline for the management of patients with aneurysmal subarachnoid hemorrhage: A guideline from the American Heart Association/American Stroke Association. Stroke 54(7): 314-370.
10. D’Andrea G, Picotti V, Familiari P, Barbaranelli C, Frati A, Raco A (2020) Impact of early surgery of ruptured cerebral aneurysms on vasospasm and hydrocephalus after SAH: our preliminary results. Clinical Neurology and Neurosurgery 192:105714.
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Published
Oct 15, 2025
Section
Articles
How to Cite
DũngN. T., & TuấnT. B. (2025). Microsurgery cerebral aneurysm in Quang Ninh Provincial General Hospital: Challenges and results. Tạp Chí Y Dược lâm sàng 108, 20. https://doi.org/10.52389/ydls.v20i0.2779