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Relative Prognostic Significance of Vasospasm Following Subarachnoid Hemorrhage

Published online by Cambridge University Press:  18 September 2015

Bryce Weir ,
Charles Rothberg ,
Michael Grace  and
Faye Davis
Bryce Weir*
Affiliation:
Division of Neurosurgery, University of Alberta, Dr. W. W. Cross Institute, Edmonton, Canada
Charles Rothberg
Affiliation:
Division of Neurosurgery, University of Alberta, Dr. W. W. Cross Institute, Edmonton, Canada
Michael Grace
Affiliation:
Division of Neurosurgery, University of Alberta, Dr. W. W. Cross Institute, Edmonton, Canada
Faye Davis
Affiliation:
Division of Neurosurgery, University of Alberta, Dr. W. W. Cross Institute, Edmonton, Canada
*
11560 University Avenue, Edmonton, Canada T6G 1Z2
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Summary:

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A retrospective analysis of 274 patients with intracranial aneurysms, diagnosed either angiographically or at autopsy between 1968 and 1973 at the University of Alberta, was carried out. One hundred and forty-six patients had intracranial clipping of the aneurysm. Clinical and radiologic data were abstracted from the chart and the angiographic studies. Probability of survival curves were constructed. Associations between various clinical factors and survival at two months were demonstrated. The most important prognostic factors were the clinical grade at angiography or surgery, followed by the presence of preoperative spasm, hematoma or focal edema, elevated blood pressure on admission, time interval from hemorrhage to surgery and age. The data lends some support to the policy of operating on patients in good neurological condition, even if their pre-operative angiogram shows spasm.

Type
Research Article
Information
Canadian Journal of Neurological Sciences , Volume 2 , Issue 2 , May 1975 , pp. 109 - 114
Copyright
Copyright © Canadian Neurological Sciences Federation 1975

References

REFERENCES

Allcock, J.M. and Drake, (1965): Ruptured intracranial aneurysms — the role of arterial spasm. Journal of Neurosurgery, 22: 21–;29.CrossRefGoogle ScholarPubMed
Alvord, E.CLoeser, J.D.Bailey, W.L. and Copass, M.K. (1972): Subarachnoid hemorrhage due to ruptured aneurysms. A simple method of estimating prognosis. Archives of Neurology, 27: 273–284.CrossRefGoogle ScholarPubMed
Ecker, A.Riemenschneider, P.A. (1951): Arteriographic demonstration of spasm of the intracranial arteries with special reference to saccular intracranial aneurysm. Journal of Neurosurgery, 8: 660–667.CrossRefGoogle Scholar
Gabrielson, T.O. and Greitz, T. (1970): Normal size of the internal carotid, middle cerebral and anterior cerebral arteries. Acta Radiologica 10: 1–10.CrossRefGoogle Scholar
Graf, C.J. and Nibbelink, D.W. (1974): Cooperative study of intracranial aneurysms and subarachnoid hemorrhage. Report on a randomized treatment study. III. Intracranial surgery. Stroke 5: 559–601.CrossRefGoogle Scholar
Krayenbuhl, H.A.Yasargil, M.G.Flamm, E.S.Tew, J.M. (1972): Microsurgical treatment of intracranial saccular aneurysms. Journal of Neurosurgery, 37: 678–686.CrossRefGoogle ScholarPubMed
McKissock, W.Richardson, A.Walsh, L. (1965): Anterior communicating aneurysms: A trial of conservative and surgical treatment. Lancet, 1: 873–876.CrossRefGoogle ScholarPubMed
Pakarinen, S. (1967): Incidence, aetiology and prognosis of primary subarachnoid hemorrhage. Acta Neurologica Scandinavia, 43 (suppl. 29): 1–127.Google Scholar
Sahs, A.L.Perret, G.E.Locksley, H.B. and Nishioka, H. (1969): Intracranial aneurysms and subarachnoid hemorrhage. A cooperative study. Philadelphia and London. J. B. Lippincott Company, 296 pp.Google Scholar
Stornelli, S.A. and French, J.D. (1964): Subarachnoid hemorrhage—factors in prognosis and management. Journal of Neurosurgery, 21: 769–780.CrossRefGoogle ScholarPubMed