Clinical Analysis of Subarachnoid Hemorrhage with Intraventricular Hemorrhage due to Aneurysmal Rupture.
- Author:
Myung Hun HYUN
1
;
Kwang Myung KIM
;
Kwang Hum BAK
;
Hyung Shik SHIN
;
Jae Min KIM
;
Young Soo KIM
;
Yong KO
;
Seong Hoon OH
;
Suck Jun OH
;
Nam Kyu KIM
Author Information
1. Department of Neurosurgery, School of Medicine, Hanyang University, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Subarachnoid hemorrhage;
Intraventricular hemorrhage;
Ventriculostomy;
Prognosis
- MeSH:
Aneurysm*;
Hemorrhage*;
Humans;
Hypothalamus;
Mortality;
Prognosis;
Retrospective Studies;
Rupture*;
Subarachnoid Hemorrhage*;
Ventriculostomy
- From:Journal of Korean Neurosurgical Society
1997;26(2):191-195
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Eventhough the morbidity and mortality rate of subarachnoid hemorrhage(SAH) due to aneurysmal rupture has dramatically decreased, SAH associated with intraventricular hemorrhage(IVH) still shows a high mortality rate. Among total of 419 patients with SAH due to aneurysmal rupture, 43 cases were associated with IVH. Authors conducted a retrospective study on these cases based on age, sex, Hunt-Hess grade, location of aneurysm, presence of intracerebral hematoma(ICH), ventriculocranial ratio, method of treatment, and final outcome. Results were as follows; 1) In patients associated with IVH, initial mental status was poor. 2) Worse the initial mental status, worse the final outcome. 3) A higher mortality rate was associated with those patients with ICH. 4) Severe ventricular enlargement was associated with increased mortality rate. We believe that a better prognostic outcome would result if aggressive therapeutic methods such as ventriculostomy, basal cistern irrigation as well as lamina terminalis opening, are performed.
