Abstract

OVIEDO GAMBOA, Ifigenia  and  ZEGARRA SANTIESTEBAN, William.   Correlation of the findings of the three-dimensional angiotomography with postoperative diagnosis in patients with cerebral aneurysm. Gac Med Bol [online]. 2014, vol.37, n.2, pp.68-71. ISSN 1012-2966.

Objective. To determine the correlation of the findings of the three-dimensional angiography with post operative diagnosis in patients with cerebral aneurysm attending emergency of the Hospital Obrero #2 in the period from January 2 010 to December 2 013. Metodos: do a study retrospective, tranverse, descriptive type with a quantitative approach, counting with a universe of 100 patients of whom 30 patients who met the inclusion and exclusion criteria were chosen with a intentional non-probability sampling. Results: in those 30 cases the age group that showed higher frequency of aneurysmal rupture was 50-59 years old representing 33%, with 58years old as high peak. The most affected was the female gender with 73% (n = 22). According to clinical evaluation with scale Hund and Hess the most representative of the study was the Grade II level with a percentage of 40% (n = 12) .The Scale of Fisher found in greater proportion was Grade II with 40 % (n = 12) .The Angiotomograffas characteristics of aneurysms most frequently found are: aneurysm sac size 10 -25 mm (n = 23) of the aneurysm neck size: more than 4 mm: 77% (n = 23 ) Relationship neck / sac 1/3 -1 (n = 22); Saccular sac morphology: 97% (n = 29); Aneurysm location: supraclinoid carotid segment 33% (n = 10); A good correlation of 30 patients between the tomographic diagnosis in size, shape and post operative findings was found, however only one variant was found in terms of location: it was described on CT which was located in Segment clinoid C5 and postoperative communicating segment C in July. Conclusions: In this study, a good correlation between the diagnosis and postoperative angiotomography. was found to be diagnosed 100% of our patients, with only one variation, regarding the location. We believe that allowed carrying out timely surgical treatment in patients with SAH admitted to our hospital.

Keywords : cerebral aneurysm; angiotomography; subarachnoid hemorrhage.

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