Oculo-Cerebral Syndrome after Spontaneous Subarachnoid Hemorrhage
Journal of Korean Neurosurgical Society
;
: 96-101, 2002.
Article
in Korean
| WPRIM
| ID: wpr-162328
ABSTRACT
OBJECTIVE:
Oculo-cerebral syndrome is an intraocular hemorrhage and related ocular symptoms caused by sudden increase in intracranial pressure. The authors investigate the clinical significance of oculo-cerebral syndrome after spontaneous subarachnoid hemorrhage and analyze the characteristics of aneurysms which caused intraocular hemorrhage in order to help the treatment of intracranial aneurysm patients.METHODS:
From January 2000 to May 2001, 103 patients were admitted to our hospital and diagnosed as spontaneous subarachnoid hemorrhage. We divided the patients into two groups81 patients without intraocular hemorrhage(non-IOH) and 22 patients with intraocular hemorrhage(IOH). The authors prospectively analyzed the prognostic factors of spontaneous subarachnoid hemorrhage by chi-square test.RESULTS:
The initial neurologic state was poor in the IOH group(p<0.001). The Fisher's grade was higher than non-IOH group(p<0.001), and intracranial hemorrhage was great in the IOH group(p<0.001). The prognosis was poor in the IOH group at discharge(p<0.001). The most common rupture site in the IOH group was the anterior communicating artery(p<0.001). Frontal intracerebral hematoma was specific to intraocular hemorrhage(p<0.05). There was a positive correlation between intraocular hemorrhage and rebleeding(p<0.001).CONCLUSION:
The authors suggest that oculo-cerebral syndrome is clinically significant with a poor prognostic factor in patients with spontaneous subarachnoid hemorrhage.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Prognosis
/
Rupture
/
Subarachnoid Hemorrhage
/
Intracranial Pressure
/
Intracranial Aneurysm
/
Prospective Studies
/
Intracranial Hemorrhages
/
Hematoma
/
Hemorrhage
/
Aneurysm
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Language:
Korean
Journal:
Journal of Korean Neurosurgical Society
Year:
2002
Type:
Article
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