Clinical Significance of Intraventricular Hemorrhage in Patients with Ruptured Aneurysms / 대한뇌혈관외과학회지
Korean Journal of Cerebrovascular Surgery
;
: 61-69, 2010.
Article
in English
| WPRIM
| ID: wpr-20583
ABSTRACT
OBJECTIVE:
The purpose of this study was to determine the clinical significance of intraventricular hemorrhage (IVH) in patients with ruptured aneurysms.METHODS:
Of 1034 patients who were admitted to our hospital with ruptured aneurysms between 1994 and 2007, 128 (12.4%) had IVHs. The clinical, radiologic characteristics, and surgical outcomes in the IVH group were compared with the no-IVH group.RESULTS:
The IVH group had a shorter time interval to admission. The incidence of IVH was significantly higher in patients > 70 years of age (p=0.021), males (p=0.000), alcohol abusers (p=0.039), patients with a Glagow Coma Scale (GCS) 10 cc (p=0.006), rebleeding (p=0.010), and shunt-dependant hydrocephalus (p=0.000) was significantly higher in the IVH group than the no-IVH group. The mortality rate in the IVH group was significantly higher than the no-IVH group (48.4% versus 22.1%). The amount of IVH had an influence on the mortality; IVH involving all of the ventricles (59.7%) and IVH only involving some of the ventricles (33.9%) was associated with a 6.6- and 2.3-fold higher mortality than the no-IVH group, respectively. IVH was significantly associated with a poor surgical outcome; however, this association was not significant in patients with a GCS < or =8, or histories of rebleeding or seizures.CONCLUSIONS:
In patients with ruptured aneurysms, IVH reflects the clinical severity of SAH. IVH has a negative influence on surgical outcome, except in patients with a poor clinical status pre-operatively.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Seizures
/
Subarachnoid Hemorrhage
/
Intracranial Aneurysm
/
Cerebral Hemorrhage
/
Incidence
/
Aneurysm, Ruptured
/
Coma
/
Hemorrhage
/
Hydrocephalus
/
Aneurysm
Type of study:
Incidence study
/
Prognostic study
Limits:
Humans
/
Male
Language:
English
Journal:
Korean Journal of Cerebrovascular Surgery
Year:
2010
Type:
Article
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