gms | German Medical Science

68th Annual Meeting of the German Society of Neurosurgery (DGNC)
7th Joint Meeting with the British Neurosurgical Society (SBNS)

German Society of Neurosurgery (DGNC)

14 - 17 May 2017, Magdeburg

3 months follow-up of subarachnoid haemorrhage headaches after treatment of ruptured aneurysms in interventionally and surgically treated patients

Meeting Abstract

  • Athanasios K. Petridis - Heinrich Heine University Duesseldorf, Department of Neurosurgery, Duesseldorf, Deutschland
  • Jan Frederick Cornelius - Neurochirurgische Klinik, Universitätsklinikum Düsseldorf, Heinrich Heine Universität, Duesseldorf, Deutschland
  • Marcel Alexander Kamp - Neurochirurgische Klinik, Heinrich-Heine-Universität Düsseldorf, Medizinische Fakultät, Duesseldorf, Deutschland
  • Igor Fischer - Duesseldorf, Deutschland
  • Sina Falahati - Duesseldorf, Deutschland
  • Hans-Jakob Steiger - Universitätsklinikum Düsseldorf, Neurochirurgische Klinik, Düsseldorf, Deutschland

Deutsche Gesellschaft für Neurochirurgie. Society of British Neurological Surgeons. 68. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), 7. Joint Meeting mit der Society of British Neurological Surgeons (SBNS). Magdeburg, 14.-17.05.2017. Düsseldorf: German Medical Science GMS Publishing House; 2017. DocMO.20.08

doi: 10.3205/17dgnc119, urn:nbn:de:0183-17dgnc1193

Published: June 9, 2017

© 2017 Petridis et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.


Outline

Text

Objective: We studied the difference of surgical “clipping” vs. endovascular “coiling” in concern to post-procedural headaches in patients with ruptured aneurysms.

Methods: Retrospective analysis of N=43 patients with aneurysmal subarachnoidal haemorrhage treated in our department from September 1st 2015 - September 1st 2016 with a WFNS of 1-3. N=22 were surgically treated and N=21 interventionally. We compared the post-procedural headaches at the time points of 24 h, 21 days, and 3 months after treatment using the visual analog scale (VAS) for pain.

Results: After surgical treatment the headache decreased for 8.8 points in the VAS, whereas the endovascular treated population showed a decrease of headaches of only 3.3 points (p<0.001). This highly statistical difference remained for 3 weeks where the pain score for the surgically treated patients was 0.68 and for the endovascular treated 1.8. After 3 months the pain was less than 1 for both groups with surgically treated patients scoring 0.1 and endovascular treated patients 0.9 (not significant).

Conclusion: Clipping relieves the patients SAH headaches faster and more effective than endovascular coiling. This effect stays significant for at least 3 weeks and plays a crucial role in stress relieve during the acute and subacute ICU care of such patients.