CLASSIFICATION OF CEREBRAL INFARCTION AFTER SUBARACHNOID HEMORRHAGE IMPACTS OUTCOME

摘要: OBJECTIVE Cerebral infarction (CI) after subarachnoid hemorrhage (SAH) is well described, but there no validated classification. METHODS We prospectively enrolled 119 consecutive patients with SAH. recorded admission World Federation of Neurological Societies grade and Columbia computed tomographic scores. Vasospasm was defined as transcranial Doppler greater than 120 cm/second or typical clinical symptoms. CI by magnetic resonance imaging scan, the date discovery recorded. classified a previously published method (single versus multiple, cortical deep combined). Outcomes were assessed at 14 days discharge National Institutes Health Stroke Scale modified Rankin (mRS), 28 3 months mRS. RESULTS associated higher risk (odds ratio, 2.6; 95% confidence interval, 1.3-5.6; P = 0.01). The median time to detection 4.2 (interquartile range, 1.6-7.6 days) SAH onset. classification score (P 0.002) intensive care unit length stay 0.001). location (cortical, deep, combined) mRS days,