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(The)relationship between subarachnoid hemorrhage volume and development of cerebral vasospasm

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Author(s)
Sang-Won JungChang-Young LeeMan-Bin Yim
Keimyung Author(s)
Yim, Man BinLee, Chang Young
Department
Dept. of Neurosurgery (신경외과학)
Journal Title
대한뇌혈관외과학회지
Issued Date
2012
Volume
14
Issue
3
Abstract
OBJECTIVE:

The objective of this study is to verify the relationship between subarachnoid hemorrhage (SAH) volume (not Fisher grade) and development of cerebral vasospasm prospectively.

METHODS:

Patients who visited our hospital with a diffuse or localized thick subarachnoid blood clot seen on computed tomography (CT), taken within 48 hours after SAH and the aneurysm was confirmed by CT Angiogram (CTA) from March 2010 to July 2011 were enrolled in this study. CTA was checked at least twice after admission. Angiographic vasospasm (AVS) on CTA was defined as irregularity or narrowing of intracranial vessels on follow up CTA compared with initial CTA. Total intracranial hemorrhage (ICH) volume (subdural, SAH, intracerebral and intraventricular) was calculated and SAH volume (all supratentorial and infratentorial cisterns) was also calculated using the MIPAV software package.

RESULTS:

A total of 55 patients were included in our study. Thirty six patients did not show AVS on CTA or clinical deterioration (non vasospasm group: NVS). AVS without ischemic neurologic symptoms was observed in four patients and development of symptomatic vasospasm (SVS), defined as AVS with ischemic symptoms, was observed in 15 patients. SAH volume in SVS patients was statistically larger than that in NVS patients (p < 0.05). Total ICH volume in SVS patients was larger than that in NVS patients. However, the difference was not statistically significant.
Keimyung Author(s)(Kor)
이창영
임만빈
Publisher
School of Medicine
Citation
Sang-Won Jung et al. (2012). (The)relationship between subarachnoid hemorrhage volume and development of cerebral vasospasm. 대한뇌혈관외과학회지, 14(3), 186–191. doi: 10.7461/jcen.2012.14.3.186
Type
Article
ISSN
1738-0499
DOI
10.7461/jcen.2012.14.3.186
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/38463
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학)
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