The long-term prognosis in untreated cerebral aneurysms: II. Late morbidity and mortality

作者: H. Richard Winn , Alan E. Richardson , William O'Brien , John A. Jane

DOI: 10.1002/ANA.410040506

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摘要: Three hundred sixty-four patients who suffered a subarachnoid hemorrhage from an aneurysm at either the anterior (ACA) or posterior (PCA) communicating artery location and were not surgically treated have been followed for up to 21 years in order study late morbidity mortality. For surviving six months: (1) little improvement was noted during many of subsequent follow-up; (2) general, ACA fared better than PCA patients; (3) neurological state on original admission strongly correlated with degree morbidity; (4) other factors measured time which adversely affected included level blood pressure presence clot spasm; (5) if deaths are excluded, cardiovascular causes account majority deaths; (6) risk dying all is increased when compared population matched by age sex.

参考文章(23)
Wylie McKissock, Kenneth W. E. Paine, Lawrence S. Walsh, An Analysis of the Results of Treatment of Ruptured Intracranial Aneurysms: Report of 772 Consecutive Cases Journal of Neurosurgery. ,vol. 17, pp. 762- 776 ,(1960) , 10.3171/JNS.1960.17.4.0762
William E. Hunt, John N. Meagher, James E. Barnes, The Management of Intracranial Aneurysm Journal of Neurosurgery. ,vol. 19, pp. 34- 40 ,(1962) , 10.3171/JNS.1962.19.1.0034
H. H. HYLAND, PROGNOSIS IN SPONTANEOUS SUBARACHNOID HEMORRHAGE Archives of Neurology And Psychiatry. ,vol. 63, pp. 61- 78 ,(1950) , 10.1001/ARCHNEURPSYC.1950.02310190067005
C. H. Millikan, Cerebral vasospasm and ruptured intracranial aneurysm. JAMA Neurology. ,vol. 32, pp. 433- 449 ,(1975) , 10.1001/ARCHNEUR.1975.00490490037003
F. C. Rose, M. Sarner, Epilepsy after Ruptured Intracranial Aneurysm BMJ. ,vol. 1, pp. 18- 21 ,(1965) , 10.1136/BMJ.1.5426.18
C. Gaulter Magee, SPONTANEOUS SUBARACHNOID HÆMORRHAGE: A REVIEW OF 150 CASES The Lancet. ,vol. 242, pp. 497- 500 ,(1943) , 10.1016/S0140-6736(00)72625-0
WALLACE B. HAMBY, SPONTANEOUS SUBARACHNOID HEMORRHAGE OF ANEURYSMAL ORIGIN Journal of the American Medical Association. ,vol. 136, pp. 522- 528 ,(1948) , 10.1001/JAMA.1948.02890250010003
E. H. Botterell, W. M. Lougheed, J. W. Scott, S. L. Vandewater, Hypothermia, and interruption of carotid, or carotid and vertebral circulation, in the surgical management of intracranial aneurysms. Journal of Neurosurgery. ,vol. 13, pp. 1- 42 ,(1956) , 10.3171/JNS.1956.13.1.0001