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Journal of Korean Neurosurgical Society 1997;26(2): 191-195.
Clinical Analysis of Subarachnoid Hemorrhage with Intraventricular Hemorrhage due to Aneurysmal Rupture.
Myung Hun Hyun, Kwang Myung Kim, Kwang Hum Bak, Hyung Shik Shin, Jae Min Kim, Young Soo Kim, Yong Ko, Seong Hoon Oh, Suck Jun Oh, Nam Kyu Kim
Department of Neurosurgery, School of Medicine, Hanyang University, Seoul, Korea.
Eventhough the morbidity and mortality rate of subarachnoid hemorrhage(SAH) due to aneurysmal rupture has dramatically decreased, SAH associated with intraventricular hemorrhage(IVH) still shows a high mortality rate. Among total of 419 patients with SAH due to aneurysmal rupture, 43 cases were associated with IVH. Authors conducted a retrospective study on these cases based on age, sex, Hunt-Hess grade, location of aneurysm, presence of intracerebral hematoma(ICH), ventriculocranial ratio, method of treatment, and final outcome. Results were as follows; 1) In patients associated with IVH, initial mental status was poor. 2) Worse the initial mental status, worse the final outcome. 3) A higher mortality rate was associated with those patients with ICH. 4) Severe ventricular enlargement was associated with increased mortality rate. We believe that a better prognostic outcome would result if aggressive therapeutic methods such as ventriculostomy, basal cistern irrigation as well as lamina terminalis opening, are performed.
Key Words: Subarachnoid hemorrhage; Intraventricular hemorrhage; Ventriculostomy; Prognosis
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