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논문 기본 정보

자료유형
학술저널
저자정보
Oh, Se-Yang (Department of Neurosurgery, Seoul St. Mary's Hospital, The Catholic University of Korea) Kwon, Jeong-Taik (Department of Neurosurgery, College of Medicine, Chung-Ang University) Park, Yong-Sook (Department of Neurosurgery, College of Medicine, Chung-Ang University) Nam, Taek-Kyun (Department of Neurosurgery, College of Medicine, Chung-Ang University) Park, Seung-Won (Department of Neurosurgery, College of Medicine, Chung-Ang University) Hwang, Sung-Nam (Department of Neurosurgery, College of Medicine, Chung-Ang University)
저널정보
대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제50권 제1호
발행연도
2011.1
수록면
6 - 10 (5page)

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Objective : Spontaneous acute subdural hematomas (aSDH) secondary to ruptured intracranial aneurysms are rarely reported. This report reviews the clinical features, diagnostic modalities, treatments, and outcomes of this unusual and often fatal condition. Methods : We performed a database search for all cases of intracranial aneurysms treated at our hospital between 2005 and 2010. Patients with ruptured intracranial aneurysms who presented with aSDH on initial computed tomography (CT) were selected for inclusion. The clinical conditions, radiologic findings, treatments, and outcomes were assessed. Results : A total of 551 patients were treated for ruptured intracranial aneurysms during the review period. We selected 23 patients (4.2%) who presented with spontaneous aSDH on initial CT. Ruptured aneurysms were detected on initial 3D-CT angiography in all cases. All ruptured aneurysms were located in the anterior portion of the circle of Willis. The World Federation of Neurosurgical Societies grade on admission was V in 17 cases (73.9%). Immediate decompressive craniotomy was performed 22 cases (95.7%). Obliteration of the ruptured aneurysm was achieved in all cases. The Glasgow outcome scales for the cases were good recovery in 5 cases (21.7%), moderate disability to vegetative in 7 cases (30.4%), and death in 11 cases (47.8%). Conclusion : Spontaneous aSDH caused by a ruptured intracranial aneurysm is rare pattern of aneurysmal subarachnoid hemorrhage. For early detection of aneurysm, 3D-CT angiography is useful. Early decompression with obliteration of the aneurysm is recommended. Outcomes were correlated with the clinical grade and CT findings on admission.
#Acute subdural hematoma #Subarachnoid hemorrhage #Intracranial aneurysm #CT angiography

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참고문헌 (25)

참고문헌 신청
Anderson GB / 1999 / Computed tomographic angiography versus digital subtraction angiography for the diagnosis and early treatment of ruptured intracranial aneurysms / Neurosurgery 45:1315~1320 google schola Barton E / 1982 / Subdural haematoma in association with intracranial aneurysm / Neuroradiology 23:157~160 google schola Clarke E / 1953 / Subdural haematoma complicating intracranial aneurysm and angioma / Brain 76:378~404 google schola Dehdashti AR / 2003 / Therapeutic decision and management of aneurysmal subarachnoid haemorrhage based on computed tomographic angiography / Br J Neurosurg 17:46~53 google schola Gelabert-Gonzalez M / 2004 / Acute subdural haematoma due to ruptured intracranial aneurysms / Neurosurg Rev 27:259~262 google schola

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