Neuropsychological analysis of ruptured saccular aneurysms of the anterior communicating artery after radical therapy (32 cases).

We examined 32 patients between 12 and 50 months after they had undergone clipping of ruptured aneurysms of the anterior communicating artery. The patients benefited from diagnosis by means of computed tomography scan and angiography, accurate timing of operation, deep hypotension, and, in all cases, occlusion of the neck of the aneurysm by clip, which was performed under the operating microscope. Tests and a questionnaire administered to the patients indicated excellent recovery of mental and amnesic capacities as well as recovery of former personality. A total of 84% returned to work. These results and those that have been reported by other authors over the last 20 years illustrate the constant improvement in neurosurgery.