Clinical Analysis of Subarachnoid Hemorrhage with Intraventricular Hemorrhage due to Aneurysmal Rupture
Journal of Korean Neurosurgical Society
;
: 191-195, 1997.
Article
in Korean
| WPRIM
| ID: wpr-190825
ABSTRACT
Eventhough the morbidity and mortality rate of subarachnoid hemorrhage(SAH) due to aneurysmal rupture has dramatically decreased, SAH associated with intraventricular hemorrhage(IVH) still shows a high mortality rate. Among total of 419 patients with SAH due to aneurysmal rupture, 43 cases were associated with IVH. Authors conducted a retrospective study on these cases based on age, sex, Hunt-Hess grade, location of aneurysm, presence of intracerebral hematoma(ICH), ventriculocranial ratio, method of treatment, and final outcome. Results were as follows; 1) In patients associated with IVH, initial mental status was poor. 2) Worse the initial mental status, worse the final outcome. 3) A higher mortality rate was associated with those patients with ICH. 4) Severe ventricular enlargement was associated with increased mortality rate. We believe that a better prognostic outcome would result if aggressive therapeutic methods such as ventriculostomy, basal cistern irrigation as well as lamina terminalis opening, are performed.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Prognosis
/
Rupture
/
Subarachnoid Hemorrhage
/
Ventriculostomy
/
Retrospective Studies
/
Mortality
/
Hemorrhage
/
Hypothalamus
/
Aneurysm
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Language:
Korean
Journal:
Journal of Korean Neurosurgical Society
Year:
1997
Type:
Article
Similar
MEDLINE
...
LILACS
LIS