Seguridad del tratamiento quirúrgico en aneurismas cerebrales no rotos, en la región de Coquimbo, Chile

Abstract

Introduction: The microsurgical treatment of unruptured cerebral aneurysms has been shown to be safe in different series, the surgical indication in these cases is debatable and is generally related to the risk of bleeding due to morphological characteristics and location of the aneurysm. The objective of this work is to determine if in our region the microsurgical treatment of unruptured cerebral aneurysms is safe and thus be able to give a recommendation of treatment to our patients.
Materials and methods: 31 patients, 33 unruptured cerebral aneurysms were treated. At the Elqui clinic and San Pablo Hospital in the Coquimbo Region, between may 2017 and March 2019, the total number of patients was monitored and their Neurological outcome according to the modified Rankin scale.
Result: 97% of the patients obtained a favorable neurological outcome (Rankin <3), only 3% of the patients, one case, obtained an unfavorable outcome (Rankin> 2).
Conclusion: The microsurgical treatment of unruptured cerebral aneurysms in our region is safe, obtaining a very low morbidity and 0% mortality.