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Journal of Korean Neurosurgical Society 1997;26(2): 191-195. |
Clinical Analysis of Subarachnoid Hemorrhage with Intraventricular Hemorrhage due to Aneurysmal Rupture. |
Myung Hun Hyun, Kwang Myung Kim, Kwang Hum Bak, Hyung Shik Shin, Jae Min Kim, Young Soo Kim, Yong Ko, Seong Hoon Oh, Suck Jun Oh, Nam Kyu Kim |
Department of Neurosurgery, School of Medicine, Hanyang University, Seoul, Korea. |
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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. |
Key Words:
Subarachnoid hemorrhage; Intraventricular hemorrhage; Ventriculostomy; Prognosis |
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