Four Cases of Ruptured Cerebral Aneurysm Presenting Acute Subdural Hematoma
Autor: | Miiko Itoh, Toshihiko Kinjo, Takamasa Kayama, Masato Oki |
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Rok vydání: | 2007 |
Předmět: |
medicine.medical_specialty
Subarachnoid hemorrhage business.industry Glasgow Outcome Scale medicine.medical_treatment General Engineering Clipping (medicine) medicine.disease Surgery Ruptured cerebral aneurysm Hematoma Aneurysm cardiovascular system medicine cardiovascular diseases business Acute subdural hematoma |
Zdroj: | Surgery for Cerebral Stroke. 35:317-321 |
ISSN: | 1880-4683 0914-5508 |
DOI: | 10.2335/scs.35.317 |
Popis: | Acute subdural hematoma (ASDH) due to ruptured cerebral aneurysm is relatively rare. In our institution, of the 210 patients with subarachnoid hemorrhage (SAH) seen between 2000 and 2006, only 6 (2.9%) revealed ASDH in association with cerebral aneurysm. The Hunt & Kosnik grade on admission was Grade III in 1, Grade IV in 3, Grade V in 2. Four patients with Grade III or IV underwent emergency hematoma removal and aneurysmal neck clipping. The outcome was good recovery in 3 and moderately disabled in 1 with Glasgow Outcome Scale. Two patients with Grade V treated conservatively died. We discuss the present cases with reference to a review of the literature. |
Databáze: | OpenAIRE |
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