Symptomatic Vasospasm and Chronic Hydrocephalus in Elderly Patients after Intracranial Aneurysm Rupture-Comparison with Younger Ones / 대한뇌혈관학회지
Korean Journal of Cerebrovascular Disease
;
: 159-163, 2002.
Article
in Korean
| WPRIM
| ID: wpr-211669
ABSTRACT
OBJECTIVE:
The purpose of this study is to compare the incidence of shunt-dependent chronic hydrocephalus and symptomatic vasospasm in elderly patients following intracranial aneurysm rupture with those of younger patients.METHODS:
We retrospectively reviewed the medical records of 189 patients who were treated with open surgery between May 1994 and December 2000. They were divided into two groups; elderly (> or =60 yrs) and younger (< or =59 yrs) group. Incidence of shunt-dependent chronic hydrocephalus and symptomatic vasospasm was analysed in each group during 6 months after surgery.RESULTS:
Shunt-dependent chronic hydrocephalus has developed more frequently in the elderly group (27.8%) than in the younger group (7.3%). Incidence of symptomatic vasospasm was not significantly different between two groups, even though poor grade patients were more represented in the elderly group.CONCLUSION:
Meticulous clinical long-term follow-up is needed to detect shunt-dependent chronic hydrocephalus as early as possble in the elderly patients with operated ruptured intracranial aneurysms and in that case, shunt operation should be undertaken.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Rupture
/
Intracranial Aneurysm
/
Medical Records
/
Incidence
/
Retrospective Studies
/
Follow-Up Studies
/
Hydrocephalus
Type of study:
Diagnostic study
/
Incidence study
/
Observational study
/
Prognostic study
Limits:
Aged
/
Humans
Language:
Korean
Journal:
Korean Journal of Cerebrovascular Disease
Year:
2002
Type:
Article
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