Outcome of Surgery of Ruptured Anterior Communicating Artery Aneurysms

Background: Anterior communicating artery complex is the most frequent site of intracranial aneurysms. Anterior communicating artery aneurysms are the most complex aneurysms of the anterior circulation due to the flow dynamics of the ACoA region, frequent anatomical variations, and danger of severing the perforators with ensuing neurological deficits. The surgical trajectory should provide optimal visualization of the ACoA complex without massive brain retraction. Objective: To study the influence of early surgery and intraoperative planning on the outcome of ruptured anterior communicating artery aneurysms surgery. Patients and Methods: In this study thirty patients with anterior communicating artery aneurysms underwent surgery in a 3-year period. In all patients early surgery through a pterional approach was performed. Evaluation of outcome of patients was done using Glascow outcome scale. Results: The majority of patients (83.3%) were in grade I or II (Hunt and Hess scale). Outcome was excellent in fifteen patients (50%) and good in nine patients (30%). The mortality rate was 10%. Conclusion: Early surgery and selecting the suitable approach of surgery improve the surgical outcome of ruptured anterior communicating artery aneurysms.