Clinical analysis of diagnosis and treatment for spontaneous subarachnoid hemorrhage in elderly patients
10.3760/cma.j.issn.0254-9026.2010.02.010
- VernacularTitle:老年人自发性蛛网膜下腔出血诊治临床分析
- Author:
Yipeng HAN
;
Daming WANG
;
Hongzhi JIANG
;
Cheng SHA
;
Jiachun LIU
;
Lijun WANG
;
Jun LU
;
Peng QI
- Publication Type:Journal Article
- Keywords:
Subarachnoid hemorrhage;
Intracranial aneurysm;
Embolization,therapeutic
- From:
Chinese Journal of Geriatrics
2010;29(2):123-126
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the diagnosis, treatment strategies and clinical outcomes of spontaneous subarachnoid hemorrhage in elderly patients. Methods A total of 68 patients aged over 60 years presenting with spontaneous subarachnoid hemorrhage underwent cerebral angiography. And 72 intracranial aneurysms were detected in 60 patients, among whom 47 patients with 59 aneurysms underwent endovascular coil embolization, 6 aneurysms in 6 patients were clipped in microneurosurgery operation, and 7 patients chose conservative treatment. Results A total of 57 aneurysms (96.6%) were embolized successfully, among which 40 aneurysms (70.2%) reached dense occlusion and 17 aneurysms (29.8%) reached incomplete occlusion. Among 47 patients undergoing endovascular treatment, 39 patients (83.0%) were evaluated as good, 7 patients (14.9%) were moderately to seriously disabled according to Glasgow Outcome Scale when they were discharged, and one patient died. Conclusions Active treatment such as endovascular coil embolization can acquire good outcome in elderly patients with spontaneous subarachnoid hemorrhage, especially in elderly patients detected with aneurysms.
