Sarcouncil Journal of Medical Sciences

Abstract: Background: Cerebral aneurysms are abnormal dilations of the intracranial arteries that form as a result of a weakening of a segment of the wall of the artery. Objective: Our study aimed to assess the clinical outcomes of patients who have aneurysms and intracranial hemorrhage. Patients and methods: 92 patients with aneurysmal subarachnoid haemorrhage (SAH) were recruited. All patients, aged between 40 and 65 years, underwent microsurgical clipping, and the study period was from March 14, 2022, to August 9, 2023. This study recorded data and clinical, surgical, and diagnostic characteristics by classifying the severity of subarachnoid haemorrhage in patients as well as pain, complications, quality of care, and quality of life scores were also recorded. Results: The current results shown that males had microsurgical clipping procedures with 56 cases more than females with 36 cases, aneurysm size (mm), 6.4 ± 0.3, the most aneurysm location was an anterior communicating artery, which includes 31.52% of cases, clipping operation time was 5.7 ± 0.6, hospitalization time 6.22 ± 1.03 days, ICU admission included 6 cases, papaverine/nicardipine, % had 6 cases, angioplasties (%) had 7 cases, 3-month mortality (%) got 4 cases, post-operative complications was 13.04% of cases, where the most complication was vasospasm with 5 cases and infection with 3 cases, general health of good recovery for patients included 90.22% of cases. Conclusion: Our results show that microsurgical clipping shows significant improvements and high efficacy in treating patients with aneurysms and intracranial hemorrhage, which provides durable protection in preventing re-rupture of the aneurysm and intracranial hemorrhage