Middle Cerebral Artery Aneurysm Coiling without Assisted Techniques – A Good Alternative, Single Venture Experience

Objective:  To evaluate the result of a coiling of middle cerebral artery aneurysms without auxiliary techniques. Material and Methods:  This study was conducted from June 2010 to September 2019 in the Department of Neuroradiology, Punjab Institute of Neurosciences, Lahore. There were a total of 500 patients with unilateral and bilateral cerebral aneurysms at the MCA level that have been included in this study which comprise of both sexes. Results:  There was a total of 500 patients, which comprised of 200 (40%) men and 300 (60%) women. Their ages ranged from 22 to 65 years. The majority number of patients was in their fifth 180 (30%) and sixth decade 150 (30%) of life. In our study, a successful coiling was performed in 490 (98%) patients with minimal re-canalization of MCA aneurysms. In 10 (2%) procedure was unsuccessful due to vasospasm. Conclusion:  The conventional coiling in middle cerebral artery aneurysms can be effective and safe without auxiliary techniques

Improving Stroke Unit Numbers And Care In Pakistan

t is self-evident that stroke remains one of the leading causes of death and disability not only in the world but also in Pakistan. The prevalence of stroke risk factors and epidemiological studies shows that the burden of stroke will not decrease in the next decades and beyond. It poses a huge challenge for the affected and their families, for medical services, governments and the society as a whole. The promising thing about stroke is that it is preventable, treatable and manageable and there is potential to drastically reduce the burden of stroke and the long term consequences.1 However, this requires the joint actions of health ministries, government agencies, stroke organizations, healthcare professionals, researchers, pharmaceuticals and the device industries. As acute stroke is a medical emergency , so the benefit of recanalization therapies in patients with acute ischemic stroke is strongly time dependent, with earlier intervention achieving better outcome.2 Stroke care system should therefore minimize the time to assessment and initiation of treatment, before brain injury becomes irreversible.3 The patients need immediate hospitalization and treatment in specialized units in order to reduce the morbidity and mortality with relatively longer stay in the hospital. In case of acute ischemic stroke, every minute that passes without treatment results in a poorer outcome and irreversible damage