J Med Assoc Thai 2000; 83 (10):1150

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Outcome in Treatment of Intracranial Aneurysm 10 Years Retrospective Study at King Chulalongkorn Memorial Hospital
Navalitloha Y Mail, Taechoran C , O'Chareon S

The authors retrospectively reviewed 477 patients who were diagnosed with intracranial
aneurysm and treated between
1987
and
1997
to evaluate the outcome of treatment. On admission,
the patients were graded according to the scale of Hunt and Hess :
96
patients
(20.1%)
were classified
in Grade I,
161 (33.8%)
in Grade II,
162 (34.0%)
in Grade III,
46 (9.6%)
in Grade IV, and
12 (2.5%)
in
Grade V. At follow-up examination
6
months after SAH,
280
patients
(58.7%)
were classified as
having made a good recovery,
80
patients (
16.8%)
suffered some morbidity, and
117
patients
(24.5o/c)
had died. Surgery was performed in
380 (79.7%)
of the patients. Of
124
patients who had surgery
within 72 hours,
79 (63.7%)
patients made a good recovery. It is concluded that, among patients
with all clinical grades, almost six of
10
intracranial aneurysm victims can be saved and can
recover to a normal life.
Key word : Intracranial Aneurysm, Subarachnoid Hemorrhage, Treatment

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