Our research aims to assess the change in the grade of responsiveness using the Hunt
and Hess score as well as the modified ranking scale in patients suffering from anterior
communicating artery rupture. We retrospectively analyzed data from 11-patients who
suffered from an anterior communicating artery aneurysm rupture that caused a subarachnoid
hemorrhage. Severity was assessed using the Hunt and Hess scale grade and modified
ranking scale. Anterior communicating artery rupture caused a subarachnoid hemorrhage
in 40.81% of all aneurysm ruptures that took place at the Circle of Willis. Unfortunately,
4-patients deceased (3.4%) at a median age of 52-years (range 34-75-years), three
of which deceased after coiling and one after clipping. In 71-patients (61.2%) endovascular
coiling was performed - 33-males and 38-females - and in the remaining 45-cases, (38.8%)
clipping was indicated - 24-males and 21-females. Overall, the pre-interventional
median Hunt and Hess scale was 2, which remained after the intervention. When relating
the outcome score to the intervention performed, we found that the Hunt and Hess scale
score was 3 before coiling and 2 before clipping, whereas afterward, there was a slight
increase to 2 and 2, respectively. The modified ranking scale was 2 after clipping,
respectively, coiling (P = 0.218). No significant differences were observed between
the different groups. Our results show that clipping is as effective as coiling in
terms of the Hunt and Hess scale and the rate of mortality in the short-term.
