Aneurysm location and clipping versus coiling for development of secondary normal-pressure hydrocephalus after aneurysmal subarachnoid hemorrhage: Japanese Stroke DataBank

作者: Shigeki Yamada , Masatsune Ishikawa , Kazuo Yamamoto , Tadashi Ino , Toru Kimura

DOI: 10.3171/2015.1.JNS142761

关键词: Anterior communicating arteryMedicineInternal carotid arteryAnterior cerebral arteryStrokeSurgerySubarachnoid hemorrhageMiddle cerebral arteryNormal pressure hydrocephalusAneurysm

摘要: OBJECT The present study aimed to investigate aneurysm locations and treatments for ruptured cerebral aneurysms associated with secondary normal-pressure hydrocephalus (sNPH) after subarachnoid hemorrhage (SAH) by using comprehensive data from the Japanese Stroke DataBank. METHODS Among 101,165 patients acute stroke registered between 2000 2013, 4693 (1482 men, 3211 women) were as having had an SAH caused a saccular aneurysm. Of them, 1448 (438 men 1010 women; mean age 61.9 ± 13.4 years) who confirmed have or not coexisting sNPH included statistical analyses. Locations of subcategorized into 1 following 4 groups: middle artery (MCA; n = 354), anterior communicating (ACA; 496), internal carotid (ICA; 402), posterior circulation (n 130). 66 unknown/unrecorded. Treatm...

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