The late morbidity and mortality in ruptured single anterior circulation aneurysms treated by non-surgical therapy.

Abstract:

:Three hundred and sixty-four patients who suffered a subarachnoid haemorrhage from an aneurysm at either the anterior (ACA) or posterior (PCA) communicating artery location and who were not surgically treated have been followed for up to 21 years in order to study the late morbidity and mortality. For the 213 patients surviving to six months or longer: (1) little improvement in morbidity was noted during the many years of subsequent follow-up; (2) in general, ACA patients fared better than PCA patients; (3) the neurological state on original admission was strongly correlated with the degree of morbidity; (4) other factors measured at the time of original haemorrhage which adversely affected morbidity included the level of blood pressure or the presence of clot or spasm; (5) rebleeding occurs on the average of 3.5% per year during the first decade; (6) the mortality associated with a late rebleed is 67%; (7) if deaths from late haemorrhage are excluded, cardiovascular causes account for the majority of subsequent deaths, and (8) the risk of dying from all causes is increased when compared to a population matched by age and sex.

journal_name

Acta Neurochir (Wien)

journal_title

Acta neurochirurgica

authors

Winn HR,Richardson AE,Jane JA

doi

10.1007/BF01728858

subject

Has Abstract

pub_date

1982-01-01 00:00:00

pages

71-81

issue

1-4

eissn

0001-6268

issn

0942-0940

journal_volume

63

pub_type

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