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[Subarachnoid hemorrhage caused by intracranial aneurysms, experience in 82 patients].

Abstract：

BACKGROUND:One third of patients with subarachnoid hemorrhage caused by intracranial aneurysms, die. AIM:Review of medical records of patients with subarachnoid hemorrhage treated at a clinical hospital. MATERIAL AND METHODS:Review of medical records of patients discharged from the hospital between 2006 and 2011 with the diagnosis of subarachnoid hemorrhage. Patients initially or subsequently treated elsewhere were not analyzed. RESULTS:The medical records of 82 patients aged 24 to 100 years (77% females), were analyzed. The clinical diagnosis at the onset of the condition was correct in 82% of cases. In 95% of patients, an angiographic study and subsequent surgical intervention of the aneurysm were carried out within 24 hours of diagnosis. Global mortality was 23%. Twelve patients died prior to any possible treatment, due to the severity of the disease. Seventy six aneurysms in 70 patients were treated with clips or coils in 37 and 39 cases, respectively. Seven patients died. Forty seven patients had a Rankin disability score of two or less. CONCLUSIONS:The presence of an intracranial hematoma or acute hydrocephaly on admission and clinical vasospasm during evolution were associated with a bad prognosis.

journal_name

Rev Med Chil

journal_title

Revista medica de Chile

authors

Yáñez Lermanda A,Ruiz-Aburto Aguilar A

doi

10.4067/S0034-98872014000800005

subject

Has Abstract

pub_date

2014-08-01 00:00:00

pages

982-8

issue

8

eissn

0034-9887

issn

0717-6163

pii

S0034-98872014000800005

journal_volume

142

pub_type

杂志文章

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