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Journal of Korean Neurosurgical Society 2004;36(3): 218-223.
Cerebral Vasospasm after Surgical Clipping Versus GDC Embolization in Ruptured Intracranial Aneurysm.
Sang Hyuk Park, Chae Heuck Lee, Woo Jin Choe, Hyo Il Park, Young Cho Koh
Department of Neurosurgery, Seoul Paik Hospital, In-Je University College of Medicine, Seoul, Korea. chleens@hotmail.com
The purpose of this study is to analyze the influence of the treatment modality(surgical cilpping versus GDC embolization) on development of cerebral vasospasm in a non-randomized retrospective analysis of 93 patients of aneurysmal subarachnoid hemorrhage. METHODS: The following parameters were retrospectively reviewed in our institution's data base and analyzed in association with vasospasm-related ischemic infarctions: 1) Hunt and Hess(H&H) grade, 2) Fisher group, 3) location of aneurysm, 4) treatment modality(surgical cilpping versus endovascular treatment).
Of the 93 patients, 39 (41.9%) patients suffered delayed ischemic infarctions. The incidence of delayed ischemic infarctions were increased as higher H&H grade and Fisher group but was not related with the location of aneurysms and the treatment modalities.
Even with vigorous removal of the subarachnoid blood clots in the surgical clipping group, there is no statistical differences in the incidence of cerebral vasospasm between the two treatment modalities.
Key Words: Cerebral vasospasm; Subarachnoid hemorrhage; Surgical clipping; GDC embolization
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