The symptomatology with the most severe clinical course of spontaneous subarachnoid hemorrhage.

Abstract:

:The symptomatology of 18 patients with the severest clinical course after subarachnoid hemorrhage (SAH) is described and analyzed. Seventeen patients died, five with an acute bulbar syndrome with cardiac arrest, and 12 with irreversible breakdown of brain function. One patient had an apallic syndrome with minimal signs of remission, who died 4 months after the first rebleeding. The cases are divided into five clinical groups on the basis of the acute brainstem symptomatology which set in instantly or after temporary adaptation, or following a second hemorrhage. Pathological examination revealed that 16 patients had a brainstem pressure cone, 14 with marked edema and signs of herniation; one patient had only cisternal tamponade while another had predominantly brain edema with herniation. There was striking parenchymatous damage of the brain of the patient with the apallic syndrome. There was a marked analogy between the material reported and the symptomatology described by Plum and Posner (1972).

journal_name

J Neurol

journal_title

Journal of neurology

authors

Binder H,Gerstenbrand F,Jellinger K,Krenn J,Watzek C

doi

10.1007/BF00313005

subject

Has Abstract

pub_date

1979-01-01 00:00:00

pages

119-29

issue

2

eissn

0340-5354

issn

1432-1459

journal_volume

222

pub_type

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