In Nepal, each year, about 6000 people suffer from ruptured cerebral aneurysms, but data on the resultsof surgical management of intracranial aneurysms is very limited. Aim of this study is to discuss the results ofclipping of intracranial aneurysms in a resource constrained situation.This study is a retrospective one. Therewere 138 patients who harbored 166 intracranial aneurysms and underwent microsurgical clipping over a periodof five years at our department. Till to this date there are no peroperative facilities of Transcranial Doppler, ICGangiography, and neurophysiological monitoring in our institute. Follow up period ranged from 3 months to 5years and outcome was assessed by GOS. 93%of aneurysms were located in anterior and7% in posteriorcirculation. Multiple aneurysms were detected in 18.9%.Postoperative cerebral angiogram showed neck remnantin 0.7%.Good recovery after microsurgical clipping was achieved in 84.2% , 7.9% were moderately disabledand death occurred in 7.9% .Microsurgical clipping of intracranial aneurysms is a standard surgical treatment indeveloping countries where endovascular technique is not available.Keywords:Cerebral aneurysms, intracranial aneurysms, microsurgical clipping, surgical outcome
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