الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Small aneurysms ≤10 mm in diameter account for almost 6% of all ruptured intracranial aneurysms and pose a therapeutic dilemma for the treating physician. Published studies have investigated the safety and efficacy of endovascular therapy unilaterally without comparison to a surgical group, which limits the value of their findings.
Our study aimed to review of literature and recent publications regarding treatment of the small anterior circulation aneurysms, evaluate the outcome of treatment of small anterior circulation aneurysms in Ain Shams University Hospitals, determine the incidence of various complications, define the good and bad prognostic criteria for outcome and to compare between the variable modalities of treatment of anterior circulation aneurysms.
This prospective study was done in the Neurosurgery Department in Ain shams University hospital, on 30 patients admitted to the Emergency Unit of Neurosurgery suffering from spontaneous subarachnoid hemorrhage (SAH) due to ruptured small anterior circulation aneurysm.
Our study showed that:
There was no statistically significant difference found between clipping group and coiling group regarding age, sex and aneurismal size with p-value = 0.759, 0.456 and 0.205; respectively.
There was no statistically significant difference found between clipping group and coiling group regarding Hunt & Hess grade with p-value = 0.431 and also regarding Fisher grading with p-value = 0.690.
There was no statistically significant difference found between clipping group and coiling group regarding percentage of complications during procedure.
There was no statistically significant difference found between clipping group and coiling group regarding percentage of complications post procedure except pneumocephalus was found with higher percentage in clipping group (33.3%) than coiling group (0.0%) with p-value = 0.014.
There was no statistically significant difference found between clipping group and coiling group regarding modified Rankin Scale with p-value = 0.440.