| Treatment Outcomes of Ruptured Intracranial Aneurysms in the Octogenarian: Single Center Study |
|
Tae Hun Moon , Keun Young Park , Jae Whan Lee , Seung Kon Huh |
|
Department of Neurosurgery, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea |
| 80대 고령에서 파열성 뇌동맥류의 치료 결과: 단일 기관 연구 |
|
문태훈·박근영·이재환·허승곤 |
|
연세대학교 의과대학 신경외과학교실 |
|
|
| Abstract |
Objective
As average life expectancy increases, treatment of elderly patients with aneurysmal subarachnoid hemorrhage has been a considerable issue. Our study aimed to investigate the treatment outcome of aneurysmal subarachnoid hemorrhage in the octogenarian.
Methods
Between February 1996 and February 2015, consecutive 25 patients of age 80 or older were treated by either clipping or coiling for ruptured aneurysm. Clinical and radiologic data of these patients were retrospectively reviewed and their treatment results, complications, and functional outcomes were evaluated.
Results
Upon 25 patients, there were 16 cases (64.0%) in good grade (Hunt-Hess grade [HHG]; 1-3) and 9 cases (36.0%) in poor grade (HHG 4, 5), respectively. Nine patients were treated by clipping and 16 by coiling. There were two cases (8.0%) of coiling-related complications without further neurological/functional deficit. During the hospital stay, 11 patients (44.0%) suffered from medical complications and two patients died of respiratory and renal failure. At discharge, favorable outcome (modified Rankin scale [mRS]; 0-2) was achieved in 13 cases (52.0%). At latest follow-up (n=18), favorable outcome was achieved in 6 cases (33.3%). During the follow-up, the clinical outcome has worsened in 8 patients due to medical problems (n=5, 27.8%), cerebral infarction (n=2, 11.1%), and subdural hematoma (n=1, 5.6%).
Conclusion
Aggressive treatment for ruptured aneurysm can be feasible and effective in the octogenarian. However, medical complications should be carefully evaluated and treated considering its incidence and severity. |
| Key Words:
AneurysmㆍOctogenarianㆍOutcomeㆍSubarachnoid hemorrhage |
|
PDF Links
Download Citation
