지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
이용수
초록· 키워드
오류제보하기
Objective : This study analyzed the relationship between prognosis and multiple clinical factors of ruptured middle cerebral artery (MCA) aneurysm with intracerebral hemorrhage (ICH), to aid in predicting the results of surgical treatment. Methods : Enrolled subjects were 41 patients with ruptured MCA aneurysm with ICH who were treated with surgical clipping. Clinical factors such as gender, age, and initial Glasgow coma scale were assessed while radiological factors such as the volume and location of hematoma, the degree of a midline shift, and aneurysm size were considered retrospectively. Prognosis was evaluated postoperatively by Glasgow outcome scale. Results : Age and prognosis were correlated only in the groups with ICH over 31 mL or ICH at the frontal lobe or sylvian fissure. When initial mental status was good, only patients with ICH on the temporal lobe had a better prognosis. If the midline shift was less than 4.5 mm, the probability of better prognosis was 95.5% (21 of 22). If the midline shift was more than 4.5 mm, the probability of poor prognosis was 42.1% (8 of 19). Patients with ICH less than 31 mL had higher survival rates, whereas if the ICH was more than 31 mL, 41.2% (7 of 17) had a poor clinical pathway. Conclusion : Even if the initial clinical condition of the patient was not promising, by carefully examining and taking into account all factors, neurosurgeons can confidently recommend surgical treatment for these patients.
목차
등록된 정보가 없습니다.
참고문헌 (18)
참고문헌 신청
Davies DM / 1959 / Diagnosis and treatment ot stupor and coma / Med World 91:9~13
Dott NM / 1933 / Intracranial aneurysms : cerebral arterioradiography; surgical treatment / Edinb Med J 40:219~234
Garcia-Ruiz PJ / 1988 / Spontaneous intracerebral hemorrhage. Epidemiology, evolution and prognosis in a series of 73 cases / Rev Clin Esp 182:356~359
Graf CJ / 1974 / Cooperative study of intracranial aneurysms and subarachnoid hemorrhage. Report on a randomized treatment study. 3. Intracranial surgery / Stroke 5:557~601
Horiuchi T / 2004 / Ruptured distal middle cerebral artery aneurysm / J Neurosurg 100:384~388
Dott NM / 1933 / Intracranial aneurysms : cerebral arterioradiography; surgical treatment / Edinb Med J 40:219~234
Garcia-Ruiz PJ / 1988 / Spontaneous intracerebral hemorrhage. Epidemiology, evolution and prognosis in a series of 73 cases / Rev Clin Esp 182:356~359
Graf CJ / 1974 / Cooperative study of intracranial aneurysms and subarachnoid hemorrhage. Report on a randomized treatment study. 3. Intracranial surgery / Stroke 5:557~601
Horiuchi T / 2004 / Ruptured distal middle cerebral artery aneurysm / J Neurosurg 100:384~388
이 논문의 저자 정보
최근 본 자료
댓글(0)
0