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Journal of Korean Neurosurgical Society 1991;20(12): 1014-1020.
Delayed Ischemic Deficit following Spontaneous Subarachnoid Homorrhage.
Sung Nam Hwang, Chan Chung, Young Baeg Kim, Kwan Park, Jong Sik Suk, Duck Young Choi
Departments of Neurosurgery, College of Medicine, Chung-Ang University, Seoul, Korea.
Of 286 patients with spontaneous subarachnoid hemorrhage over the past 5 years, 201 patients underwent operation after confirming the ruptured aneurysms. Among the operated patients, 31 developed dealyed ischemic deficit(DID) pre-or post-operatively. DID developed as early as 4 dyas and as late as 29 dyas after the subarachnoid hemorrhage. The severity of hemorrhage based on Fisher group, subarachnoid hemorrhage assoicated with intracerebral hemorrhage and/or intraventricular hemorrhage, surgery within 3 days after the subarachnoid hemorrhage were closely related with higher incidence of DID. Inspite of vigorous therapy, 3 died but 23 recovered satisfactorily.
Key Words: Delayed ischemic deficit; Cerebral aneurysm; Spontaneous subarachnoid hemorrhage; Early surgery; Prognosis
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