{"id":"1afee948-9057-4c35-8a77-bfb88e02baa7","slug":"treatment-of-ruptured-intracranial-dissecting-aneurysms-in-hong-kong","title":"Treatment of ruptured intracranial dissecting aneurysms in Hong Kong","authors":["George Kwok Chu Wong","Hoi Bun Tang","Wai Sang Poon","Simon Chun Ho Yu"],"abstract":"Background: Data suggests that hemorrhagic presentations occur in 20% of internal carotid artery dissections and 50% of vertebral artery dissections. A Finnish study has reported favorable outcomes in only 32% of patients. Methods: We reviewed the aneurysmal subarachnoid hemorrhage registry of patients who presented with intracranial dissecting aneurysms at a neurosurgical center in Hong Kong over a five-year period. Results: A total of 23 patients with intracranial dissecting aneurysms were identified, accounting for 8% of all spontaneous subarachnoid hemorrhage patients. Forty-eight percent of the patients identified were treated by main trunk occlusion and 39% were treated by embolization or stent-assisted embolization or stent alone. Thirteen percent were managed by craniotomy and trapping or wrapping. Favorable outcomes at six months were achieved in 67%. Conclusions: Patients with intracranial dissecting aneurysms account for a significant proportion of the cases of spontaneous subarachnoid hemorrhage in our population. Carefully selected endovascular and microsurgical treatments can lead to management outcomes similar to patients with saccular aneurysms.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/1afee948-9057-4c35-8a77-bfb88e02baa7/featured/hero-1782421059817.png","publishDate":"2010-12-22T00:00:00.000Z","doi":"10.4103/2152-7806.74145","categories":["Original Article"],"fullTextUrl":"https://surgicalneurologyint.com/api/articles/1afee948-9057-4c35-8a77-bfb88e02baa7/pdf"}