Subarachnoid hemorrhage: Diagnosis and Management
- Author:
Thinh Van Le
- Publication Type:Journal Article
- Keywords:
subarachnoid hemorrhage
- MeSH:
Subarachnoid Hemorrhage;
Diagnosis;
Disease Management
- From:Journal of Vietnamese Medicine
1999;232(1):1-8
- CountryViet Nam
- Language:Vietnamese
-
Abstract:
From January 2001 to June 2002, 96 patients who were suffering from subarachnoid hemorrhage were admitted to the stroke service of the neurological Department of B¹ch Mai Hospital. Diagnosis based on the clinical examination, CT Scan, lumbar puncture (if necessary) transcranial Doppler sonography (TCD), and angiography (DSA, and MRA). There were 35 females and 61 males. The age ranged from 12 to 84. The averaged age 46-65 years: 47 (49%). The clinical pictures included headache 98%, vomiting and/ or nausea 89%, consciousness disorders 55%, neck stiffness 94%, kernigsign 89%, hemiplegia 35%, cranial third nerve palsy 9%, cerebral aneurysm 88%, and arteriovenous malformation (AVM) 12%. Evaluation and complications included good recovery 14%, moderate disability 53%, severed disability 25%, death 8%, no cases with persistent vegetative states, recurrent bleeding 27%, cerebral vasospasm 29%, hydrocephalus 26%, Hyponatremia 17%, and seizure 5%.
