• Talha Sajid, Arooj Kiran, Adeel-Ur-RehmanDr. Adeel-Ur-Rehman, MBBS, Resident Neurosurgery, Department of Neurosurgery, Punjab Institute of Neurosciences, Lahore, Pakistan., Ismaeel Khalid, Zubair Khan, and Abdul Majid.
• Dr. Talha Sajid, MBBS, Resident Neurosurgery, Department of Neurosurgery, Punjab Institute of Neurosciences, Lahore, Pakistan.
• Pak J Med Sci. 2024 Dec 1; 40 (12PINS Suppl): S32S36S32-S36.

ObjectiveTo observe the outcome of surgical clipping in anterior circulation aneurysm in a modestly resourced hospital.MethodsA retrospective cross-sectional study was conducted at Punjab Institute of Neurosciences Lahore, from August 2022 to July 2023. Seventy five patients meeting the inclusion criteria of age <65, saccular aneurysm of anterior circulation, and Hunt and Hess grade one or two were enrolled through non-probability convenience sampling. Data were collected from patient records, and surgeries were performed by experienced neurosurgeons using pterional and sub-frontal approaches. SPSS version 26 was utilized for data analysis.ResultsMean age 49.3733 ± 2.56 (Mean ± SD) years, 60% female. Most common aneurysm location: anterior communicating artery (37.33%). Post-operative complications: vasospasm (17.33%), hydrocephalus (6.66%), fits (5.33%), mortality (2.66%). About 91% patients had no complications or recovered within three months.ConclusionSurgical clipping of anterior circulation aneurysms is a safe and effective treatment, yielding favorable angiographic outcomes. Despite occasional complications, most patients achieved satisfactory results, especially in a setting having limited endovascular facilities or when coiling is not feasible. Future comparative studies with endovascular methods will further refine patient selection and surgical techniques.Copyright: © Pakistan Journal of Medical Sciences.

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