Abstract:
OBJECTIVE:Current prognosticators for patients with subarachnoid hemorrhage (SAH) do not take into account signs of extracerebral organ dysfunction. This may explain the only moderate predictive value of these prognosticators. We assessed the prognostic value of the simplified acute physiology score (SAPS) II in SAH patients. METHODS:In a retrospective cohort study of 148 consecutive SAH patients, we related the SAPS II calculated within 24 hours after admission to clinical and initial computed tomographic imaging characteristics using the Mann-Whitney U test. We compared the prognostic value of the SAPS II with that of the World Federation of Neurosurgical Surgeons score, the patient's age, and the amount of blood showing in computed tomographic imaging for the occurrence of delayed cerebral ischemia using Cox proportional hazards modeling or, for poor outcome (death or dependence), logistic regression modeling. RESULTS:In the univariate analysis, the SAPS II was the strongest prognosticator; in the multivariate model, the SAPS II was the only independent predictor for outcome (odds ratio, 1.08; 95% confidence interval, 1.06-1.11]). Patients in the highest tertile of SAPS II had a significantly higher risk of poor outcome than those in the lowest tertile (odds ratio, 30.9; 95% confidence interval, 9.9-96.7]). The SAPS II was also the only independent predictor for the occurrence of delayed cerebral ischemia (hazard ratio, 1.020; 95% confidence interval, 1.002-1.039]). CONCLUSION:The SAPS II is a useful and reliable prognosticator in SAH patients. This score may provide more information than specific SAH scales in predicting poor outcome or the occurrence of delayed cerebral ischemia in some circumstances.
journal_name
Neurosurgeryjournal_title
Neurosurgeryauthors
Schuiling WJ,de Weerd AW,Dennesen PJ,Algra A,Rinkel GJdoi
10.1227/01.neu.0000166536.42876.9ckeywords:
subject
Has Abstractpub_date
2005-08-01 00:00:00pages
230-6; discussion 230-6issue
2eissn
0148-396Xissn
1524-4040pii
00006123-200508000-00004journal_volume
57pub_type
杂志文章相关文献
NEUROSURGERY文献大全abstract:OBJECTIVE:To study the regional oxygen saturation (rSO(2)) of pituitary adenomas, in comparison with that of the pituitary gland. METHODS:Microspectrophotometric (MSP) measurements of rSO(2) in adenomas and pituitary tissue were performed for a series of patients undergoing first-time transsphenoidal pituitary adenoma...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000083604.09901.f6
更新日期:2003-10-01 00:00:00
abstract:OBJECTIVE:Cigarette smoking has been demonstrated to increase the risk of subarachnoid hemorrhage (SAH). Whether cessation of smoking decreases this risk remains unclear. We performed a case-control study to examine the effect of smoking and other known risk factors for cerebrovascular disease on the risk of SAH. METH...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-200109000-00014
更新日期:2001-09-01 00:00:00
abstract:OBJECTIVE:To assess the outcomes associated with C1-C2 transarticular screw fixation. METHODS:The clinical outcomes of 121 patients treated with posterior C1-C2 transarticular screws and wired posterior C1-C2 autologous bone struts were evaluated prospectively. Atlantoaxial instability was caused by rheumatoid arthrit...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199808000-00056
更新日期:1998-08-01 00:00:00
abstract:OBJECTIVE:To describe a new endoscope shaft developed for suction-aspiration during endoscopic transsphenoidal pituitary surgery. METHODS:A custom-made shaft for a Wolf endoscope (Richard Wolf GmbH, Knittlingen, Germany) was developed with a height of 10 mm and a width of 5 mm, allowing an additional working channel f...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000163681.28487.2f
更新日期:2005-07-01 00:00:00
abstract:OBJECTIVE:Gliomatosis cerebri is an enigmatic diffuse brain neoplasm whose prognosis is grim. We reviewed data for patients with gliomatosis who were treated at the University of California, San Francisco, during a 10-year period. Our focus was on presentation, radiological and pathological features, and outcomes. MET...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1227/01.neu.0000073527.20655.e6
更新日期:2003-08-01 00:00:00
abstract:OBJECTIVE:A common finding of computed tomography in a case of normal-pressure hydrocephalus (NPH) is periventricular radiolucency (PVL). We analyzed PVL for patients with hydrocephalus, using dynamic computed tomographic and xenon-computed tomographic techniques to differentiate NPH from similar diseases. METHODS:Dyn...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199610000-00023
更新日期:1996-10-01 00:00:00
abstract:OBJECTIVE:Major steps in the evolution of advanced neurosurgical techniques include microneurosurgery, neuroendoscopy and its minimally invasive variations, neuronavigation, and advanced intraoperative imaging. With traditional neuroendoscopic techniques (e.g., freehand endoscopy or the use of mechanical arms), definit...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:2002-12-01 00:00:00
abstract:OBJECTIVE:Fever is associated with worse outcome after subarachnoid hemorrhage, but there are few prospective data to quantify this relationship. METHODS:We prospectively enrolled consecutive aneurysmal or cryptogenic subarachnoid hemorrhage patients and recorded the highest core temperature each calendar day for Day ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000320453.61270.0F
更新日期:2008-08-01 00:00:00
abstract::When confronted with a patient with a brachial plexus injury, how often as neurosurgeons do we consult an atlas to confirm the anatomy of the brachial plexus and then attempt to establish the location of the lesion? Similar difficulties are encountered with lumbar and sacral plexus lesions. In a project organized to a...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:1990-11-01 00:00:00
abstract:OBJECTIVE:Classic surgical exposures of the infratemporal fossa region, including the adjacent intracranial space, temporal bone, and sinonasal region, require the extensive exposure associated with the transcranial, transfacial, and transmandibular approaches with their inherent neurological and cosmetic morbidities. ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000359224.75185.43
更新日期:2010-01-01 00:00:00
abstract:OBJECTIVE:Several studies have shown that human gliomas contain a small population of cells with stem cell-like features. It has been proposed that these "cancer stem cells" may be uniquely responsible for glioma formation and recurrence. However, human gliomas also contain an abundance of cells that closely resemble m...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000316019.28421.95
更新日期:2008-02-01 00:00:00
abstract::The operative and histopathological findings in 31 cases of intracranial meningioma after preoperative embolization with Gelfoam and/or lyophilized dura mater are reported. Removal of the tumor after embolization was facilitated in those meningiomas fed exclusively or mainly by branches of the external carotid artery ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198309000-00008
更新日期:1983-09-01 00:00:00
abstract:OBJECTIVE:We evaluated a combined technique designed for procedures requiring intraoperative language mapping. We planned to induce general anesthesia with endotracheal intubation and hyperventilation and then to awaken and extubate the patient for speech testing. After the latter, endotracheal reintubation and general...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199806000-00069
更新日期:1998-06-01 00:00:00
abstract::The cerebrovascular response to CO2 was evaluated by measuring relative changes in blood flow velocity within the middle cerebral artery by transcranial Doppler ultrasonography during normo-, hypo-, and hypercapnia. In seven patients without subarachnoid hemorrhage (five with unruptured arteriovenous malformations and...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1097/00006123-199008000-00013
更新日期:1990-08-01 00:00:00
abstract:OBJECTIVE:The diagnosis of isolated central nervous system angiitis often requires both cerebral angiography and biopsy for diagnosis. CLINICAL PRESENTATION:We present a case of gliomatosis cerebri with demonstrated angiographic changes suggestive of a central nervous system vasculitis. INTERVENTION:A 47-year-old wom...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000216258.35308.AA
更新日期:2006-06-01 00:00:00
abstract::Nine millilitres of preclotted autologous blood was injected into the ventricles of 10 adult mongrel dogs (control dogs) to create subtotal ventricular casts with solid clots. The neurological status and systemic fibrinolytic profiles were closely monitored, and the changes in clot and ventricular volumes were measure...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198610000-00010
更新日期:1986-10-01 00:00:00
abstract:BACKGROUND:If patients with idiopathic normal pressure hydrocephalus (INPH) also have depression, this could have important clinical ramifications in assessment and management of their cognitive function and response to shunting. In many dementias, depression is overrepresented, but the prevalence of depression in shun...
journal_title:Neurosurgery
pub_type: 杂志文章,多中心研究
doi:10.1227/NEU.0000000000001093
更新日期:2016-02-01 00:00:00
abstract:BACKGROUND:Occipital lobe epilepsy (OLE) is an uncommon but debilitating focal epilepsy syndrome with seizures often refractory to medical management. While surgical resection has proven a viable treatment, previous studies examining postoperative seizure freedom rates are limited by small sample size and patient heter...
journal_title:Neurosurgery
pub_type: 杂志文章,meta分析
doi:10.1093/neuros/nyx158
更新日期:2018-03-01 00:00:00
abstract:BACKGROUND:Although there are several large-species animal models for saccular aneurysms, there is a need for a simple, reproducible saccular aneurysm model in mice. OBJECTIVE:To develop a murine saccular aneurysm model, which replicates key characteristics that occur in the formation of human cerebral aneurysms. MET...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.NEU.0000365616.46414.2B
更新日期:2010-03-01 00:00:00
abstract:BACKGROUND:Anterior clinoidal meningiomas (ACMs) are a subgroup of meningiomas accounting for less than 10% of supratentorial meningiomas. OBJECTIVE:To assess the reliability and safeness of the lateral supraorbital approach (LSO) to remove ACMs. METHODS:Between September 1997 and October 2009, a total of 73 ACM pati...
journal_title:Neurosurgery
pub_type: 历史文章,杂志文章
doi:10.1227/NEU.0b013e318214a840
更新日期:2011-06-01 00:00:00
abstract::We recorded somatosensory evoked potentials (SEPs) from the skin surface and spinal evoked potentials (SpEP) from the posterior epidural space after median nerve stimulation in 11 patients with cervical syringomyelia. We compared SEPs with SpEP to assess the possible feasibility of using these techniques to localize t...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-199202000-00011
更新日期:1992-02-01 00:00:00
abstract::Two unusual cases of constrictive arachnoiditis localized to thoracic levels after Pantopaque myelography and unrelated to any operation, trauma, or disc disease at these levels are presented. The pertinent literature is reviewed. ...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:1980-03-01 00:00:00
abstract::A retrospective study of 119 operative procedures for intracranial aneurysm was performed to compare the clinical result with microsurgical technique vs. that with standard instruments and without magnification; the operative technique was the major variable. The study demonstrated more normal patients, less intraoper...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198204000-00001
更新日期:1982-04-01 00:00:00
abstract::Two cases of lymphocytic hypophysitis are reported, in which hypothalamic involvement causing diabetes insipidus was a prominent clinical feature. In one case, a man had clinical and radiological evidence of the involvement of the cavernous sinus. This represents the second reported case of a man with lymphocytic hypo...
journal_title:Neurosurgery
pub_type: 杂志文章,评审
doi:10.1097/00006123-199103000-00019
更新日期:1991-03-01 00:00:00
abstract::We previously described an experimental model for the production of invasive and noninvasive astrocytic series tumors and a semiquantitative assessment of their invasiveness. The tumors are produced by intracerebral inoculation of simian virus 40-transformed cells from four different brain regions. Cells of cerebral c...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198709000-00015
更新日期:1987-09-01 00:00:00
abstract::Experimental gliomas were induced in rats by prenatal exposure to ethyl nitrosourea. Changes in the blood-brain barrier were determined by the uptake of a water-soluble compound, 99mTc-glucoheptonate. Increased uptake of 99mTc-glucoheptonate was measured in intact tumors and in various sectors of dissected tumors. The...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:
更新日期:1989-10-01 00:00:00
abstract:BACKGROUND:Examining the costs of single- and multilevel anterior cervical discectomy and fusion (ACDF) is important for the identification of cost drivers and potentially reducing patient costs. A novel tool at our institution provides direct costs for the identification of potential drivers. OBJECTIVE:To assess peri...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1093/neuros/nyy126
更新日期:2019-02-01 00:00:00
abstract:OBJECTIVE:Herpes virus encephalitis is a rare, life-threatening complication of therapy in patients with brain tumors. A surgical therapeutic approach may be needed because the infection can be resistant to acyclovir in immunocompromised patients, and complications and long-term sequelae are frequent. CLINICAL PRESENT...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/01.neu.0000325885.00033.c3
更新日期:2008-05-01 00:00:00
abstract::The objectives of this study were to evaluate the use of brain stem auditory evoked potentials (BAEPs) in 10 adult patients with vascular disorders of the posterior circulation that were treated surgically and to compare the BAEPs with the neurological findings. The vascular lesions included basilar artery stenosis in...
journal_title:Neurosurgery
pub_type: 杂志文章
doi:10.1227/00006123-198305000-00003
更新日期:1983-05-01 00:00:00
abstract:OBJECTIVE:Reports from relatively small series of pediatric patients predominantly from single centers have hampered accurate analysis of outcome from endoscopic third ventriculostomy. We combined patients from nine pediatric neurosurgery centers across Canada to obtain a better estimate of outcome and identify factors...
journal_title:Neurosurgery
pub_type: 杂志文章,多中心研究
doi:10.1227/01.NEU.0000255420.78431.E7
更新日期:2007-05-01 00:00:00