Poor-risk Intracranial Aneurysm with Large Intracerebral Hematoma.
- Author:
Jang Ku KWEON
1
;
Sang Pyung LEE
;
Dae Hyun KIM
;
Sung Kyoo HWANG
;
In Suk HAMM
;
Yeun Mook PARK
;
Seung Lae KIM
Author Information
1. Department of Neurosurgery, Kyungpook National University Hospital, Taegu, Korea.
- Publication Type:Original Article
- Keywords:
Intracranial aneurysm;
Poor-risk;
Intracerebral hematoma;
Early surgery
- MeSH:
Aneurysm;
Arteries;
Cerebral Infarction;
Female;
Gyeongsangbuk-do;
Hematoma*;
Hemorrhage;
Humans;
Incidence;
Intracranial Aneurysm*;
Male;
Mortality;
Temporal Lobe
- From:Journal of Korean Neurosurgical Society
1990;19(7):905-911
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Analyses and studies have been made on 34 cases of the combined ICH, showing mass effect among 305 male and female ruptured intracranial aneurysmal patients who were admitted to Kyungpook National University Hospital from Mar. 1984, through Feb. 1990. The incidence of the large ICH was 11.1% with 2.1 to 1 ratio of male to female. The highest age incidence of the hematoma was in the 40 to 60 years bracket. The most frequent site of the aneurysm combined with the large ICH was at MCA aneurysm, 38.6%, followed by at A-com artery aneurysm, 4.8%. The most frequent location of the hematoma was in temporal lobe, 88.2%. The rate of combined large ICH was 20.3% in multiple aneurysmal bleeding patients who revealed higher incidence of the hematoma than the single bleeding patients. In amount of the hematoma, 30-40ml bracket ranked top occupying 32.4% of all cases. After surgical treatment, 29.4% patient was improved to the good and fair on discharge. The rate of mortality was 61.8%, which was mainly due to direct effect of hematoma and cerebral infarction caused by vasospasm.
