Ogilvy-Carter Aneurysm Grading

Ogilvy-Carter grading (Ogilvy 1998): one point each for age > 50, Hunt-Hess 4–5, Fisher 3–4, aneurysm > 10 mm, and posterior giant ≥ 25 mm gives a 0–5 grade predicting post-operative outcome.

Open the calculator → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Age > 50
Yes
Hunt-Hess 4–5
Yes
Fisher 3–4
Yes
Aneurysm > 10 mm
No
Posterior giant ≥ 25 mm
No

Result: Ogilvy-Carter grade 3 — higher grades predict worse post-operative outcome.

The tool opens with these values already filled in. Replace them with your own.

What the result means

0-5
One point each: age > 50, Hunt-Hess 4-5, Fisher 3-4, aneurysm > 10 mm, posterior giant >= 25 mm. Higher grades predict worse post-operative outcome. A grading score, not a surgical order.

What you enter

  • Age > 50 (+1)
  • Hunt-Hess 4–5 (+1)
  • Fisher 3–4 (+1)
  • Aneurysm > 10 mm (+1)
  • Posterior giant ≥ 25 mm (+1)
How this is calculated

Ogilvy CS, Carter BS. A proposed comprehensive grading system to predict outcome for surgical management of intracranial aneurysms. Neurosurgery. 1998;42(5):959-968; discussion 968-970. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.