Prognostic Observation Of Ultra-early Emergency Embolizaltion And Continuous Lumbar Drainage For High Grade Intracranial Aneurysms

Objective:To observe the prognosis of patients with Hunt-Hess ??? grade of intracranial saccular aneurysms who were treated with ultra-early emergency embolization and continuous lumbar drainage.Methods:The clinical date of 32 patients with Hunt-Hess grade ???intracranial saccular aneurysm(grade IV,n=24 and grade V,n=8)admitted from January 2014 to December 2017 were analyzed retrospectively.Sixteen cases of them were treated with ultra-early emergency embolization and continuous lumbar drainage(group A)and 16 underwent emergency embolization(group B).The neurological prognosis of the patients was evaluated at 1,3 and 6 months after treatment.According to Head CT?TCD and clinical manifestation of postoperative patients,we determined whether there were cerebrovascular spasm,hydrocephalus and cerebral infarction,and counted the hospitalization time of the two groups.Results:Group A has 5 patients with cerebral vasospasm,9 patients with hydrocephalus,6 patients with cerebral infarction and patients were in hospital for(25±8)d.Group B has 8 patients with cerebral vasospasm,11 patients with hydrocephalus,9 patients with cerebral infarction and patients were in hospital for(28±9)d.There was no significant difference in GCS between the group A and group B at 1 month after treatment(P>0.05);but there was significant difference in Rankin prognostic scores at 3 and 6 months after treatment between the 2 groups(P<0.05).Conclusions:Ultra-early emergency embolization and continuous lumbar drainage can reduce the number of patients of cerebral vasospasm,hydrocephalus and cerebral infarction,and reduce the time of hospitalization,and improve the recovery level of 3 months and half a year after treatment.