Results of clipping surgery for aneurysmal subarachnoid hemorrhage in the ninth and tenth decades of life |
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| Affiliation: | 1. Department of Neurosurgery, University of California San Francisco, 505 Parnassus Avenue, M 779, San Francisco, CA 94143-0112, USA;2. Department of Radiation Oncology, University of California San Francisco, CA, USA;1. Institute of Clinical Neurosciences, Royal Prince Alfred Hospital, Central Clinical School, University of Sydney, Missenden Road, Camperdown, Sydney, NSW 2050, Australia;2. Miranda Neurology, Miranda, NSW, Australia;3. Brain & Mind Research Institute, Camperdown, NSW, Australia;1. NEUROFARBA Department, Neuroscience Section, University of Florence, Italy;2. Interventional Neuroradiology Unit, Azienda Ospedaliero Universitaria Careggi, Florence, Italy;3. Stroke Unit and Neurology, Azienda Ospedaliero Universitara Careggi, Largo Brambilla 3, 50134 Firenze, Italy;1. Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China;2. Clinical Medical Examination, The Sixth People Hospital of Jinan, Shandong, China;3. School of Public Health and Family Medicine, Capital Medical University, Beijing, China;4. Beijing Neurosurgical Institute, Capital Medical University, No. 6 Tiantan Xili, Dongcheng District, Beijing 100050, China |
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| Abstract: | This study investigated the outcome of clipping surgery for ruptured aneurysms in patients older than 80 years of age. From 1988 to 2011 data were retrospectively reviewed, and 196 patients treated with clipping obliteration for aneurysmal subarachnoid hemorrhage were identified. Patients were divided into two age groups of 80–84 and ⩾85 years old. The Glasgow Outcome Scale score was assessed at discharge and classified as favorable (good recovery or moderate recovery) or unfavorable (severe disability, vegetative state, or dead). Radiological and clinical characteristics were compared between the two groups. A favorable outcome was achieved in 106 (54.1%) of the 196 patients. Preoperative grade and Fisher grade were significantly associated with unfavorable outcome, but age was not. Based on logistic regression analysis, poor preoperative grade and ruptured anterior cerebral artery aneurysm were the predictors of unfavorable outcome, but advanced age (⩾85 years old) was not. Advanced age itself did not affect the outcome of the elderly patients who underwent clipping surgery for aneurysmal subarachnoid hemorrhage. |
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| Keywords: | Cerebral aneurysm Clipping Elderly Subarachnoid hemorrhage Surgery |
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