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Clinical Management of Intracranial Aneurysms: Enhancing Diagnostic Accuracy and Surgical Precision

Clinical Management of Intracranial Aneurysms: Enhancing Diagnostic Accuracy and Surgical Precision
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Author(s): Amanullah Khan (Liaquat National Hospital, Pakistan), Salman Shareef (Liaquat National Hospital, Pakistan)and Mehak Hafiz (Liaquat National Hospital, Pakistan)
Copyright: 2026
Pages: 18
Source title: Precision in CT Imaging for Personalized Implants and Surgical Planning
Source Author(s)/Editor(s): Soobia Saeed (Taylor's University, Malaysia)and Mohsin Qadeer (National Medical Center, Pakistan)
DOI: 10.4018/979-8-3373-2807-2.ch003

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Abstract

Managing intracranial aneurysms is a tightrope balancing act for any neurosurgeon, especially in low- and middle- income countries where lack of resources threatens an optimal care. A retrospective study was carried out to observe how a CT-based anatomical mapping system influenced the diagnostic accuracy and surgical precision in managing cerebral aneurysms at a tertiary care center in Karachi, Pakistan. Analyzing data from 82 patients showed a female preponderance (65.9%) and a high incidence of hypertension in relation to risk factors (82.9%). All patients presented with acute hemorrhage and headache. CT localized the aneurysms with precision and yielded statistically significant correlations between GCS and aneurysm sites (p = 0.029) and between types of seizures and aneurysm locations (p = 0.003). Cerebral infarction highly correlated with decompressive surgery (p < 0.001). These findings further elaborate how the state-of-the-art CT-based anatomical mapping allows for early diagnosis, risk stratification, and targeted surgical intervention.

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