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

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.