Intrasylvian hematoma caused by ruptured middle cerebral artery aneurysms predicts recovery from poor-grade subarachnoid hemorrhage
作者： Hitoshi Fukuda , Kosuke Hayashi , Takafumi Moriya , Satoru Nakashita , Benjamin W. Y. Lo
DOI: 10.3171/2014.10.JNS141658
关键词:
摘要: OBJECT Intrasylvian hematoma (ISH) is a subtype of intracranial caused by aneurysmal rupture and often presents with poor initial neurological grade; it not well studied. The aim this study was to elucidate outcomes subarachnoid hemorrhage (SAH) ISH. METHODS Data for 97 patients poor-grade SAH (World Federation Neurosurgical Societies Grade IV or V) were retrospectively analyzed from single-center, prospective, observational cohort database. Ultra-early surgical clipping, removal hematoma, external decompression brain swelling, prevention vasospasm cisternal irrigation milrinone combined as an aggressive treatment. Characteristics clinical courses ISH identified. authors also evaluated any correlations between admission-grade good functional outcome. RESULTS Patients more likely have cerebral edema (p < 0.001, Mann-Whitney U-test...
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