Microsurgical Management of Intracranial Aneurysms in Côte d’Ivoire: A Series of 128 Cases

• 作者: Adéréhime Ha?dara André Tokpa Guy Varlet Louis Derou Médard Kakou Soress Dongo
• 来源期刊: 现代神经外科学进展(英文)
• 学科: 医学
• 关键词: INTRACRANIAL ANEURYSM MICROSURGERY Cote d’Ivoire SUBARACHNOID HAEMORRHAGE
• 年，卷（期）: 2020,（1）
• 页码范围: 105-113
• 页数: 9页
• 分类号: R74

摘要

Introduction: The management of intracranial aneurysms in sub-Saharan Africa is essentially surgical. In this retrospective study, the authors report their experience in surgical management of intracranial aneurysm in Côte d’Ivoire. Methods: We carried out a retrospective study on patients operated for a ruptured or unruptured intracranial aneurysm between January 1st, 2012 and December 31st, 2018. Data on epidemiological characteristics of patients and aneurysms, treatments and patient outcomes were analyzed. Results: One hundred twenty eight aneurysms were operated. Sixty-six percent of the patients were female. According to the World Federation of Neurosurgical Societies (WFNS) scale, 58, 5% of patients were in grade I. Fisher scale showed 29% of Fisher 2 and 49% of Fisher 4. The aneurysms were mainly located on the internal carotid artery in 38% and anterior complex in 36%. The average size of aneurysms was 6.5 mm. In 81.4% the size of the aneurysms was less than 10 mm. Most aneurysms (90%) were treated at late stage. According to the modified Rankin Scale, 92 patients (83%) had good outcome, 7 patients (6%) had poor outcome, and the mortality rate was 11%. Conclusions: This study shows encouraging results if we refer to the overall postoperative results. However, there is a sub-diagnosis and low treatment rate of ruptured intracranial aneurysms. The improvement of intracranial aneurysms management requires improving the standard of health in the country.