Follow-up Study of Intracranial Aneurysms with Special Reference to Long-term Social Rehabilitation

Abstract

192 patients with aneurysms of anterior circulation were evaluated with respect to social rehabilitation. All underwent definitive surgery and were followed for more than 6 months. 168 patients (87.5%) returned to full or partial employment. Factors such as age, preoperative level of consciousness, preoperative Hunt and Hess' grading, requirement of shunts, the presence or absence of an intraventricular hematoma, and evidence of ventricular dilatation on computerized tomograms were the most important in predicting social recovery. The prophylaxis and treatment of epilepsy following subarachnoid hemorrhage are also discussed.