Cited 4 times in

The meaning of the prognostic factors in ruptured middle cerebral artery aneurysm with intracerebral hemorrhage

Title
 The meaning of the prognostic factors in ruptured middle cerebral artery aneurysm with intracerebral hemorrhage
Authors
 Ji Woong Oh; Ji-Yong Lee; Kum Whang; Hyen-Ho Jung; Myeong Sub Lee
Issue Date
2012
Journal Title
 Journal of Korean Neurosurgical Society
ISSN
 2005-3711
Citation
 Journal of Korean Neurosurgical Society, Vol.52(2) : 80~84, 2012
Abstract
OBJECTIVE: This study analyzed the relationship between prognosis and multiple clinical factors of ruptured middle cerebral artery (MCA) aneurysm with intracerebral hemorrhage (ICH), to aid in predicting the results of surgical treatment. METHODS: Enrolled subjects were 41 patients with ruptured MCA aneurysm with ICH who were treated with surgical clipping. Clinical factors such as gender, age, and initial Glasgow coma scale were assessed while radiological factors such as the volume and location of hematoma, the degree of a midline shift, and aneurysm size were considered retrospectively. Prognosis was evaluated postoperatively by Glasgow outcome scale. RESULTS: Age and prognosis were correlated only in the groups with ICH over 31 mL or ICH at the frontal lobe or sylvian fissure. When initial mental status was good, only patients with ICH on the temporal lobe had a better prognosis. If the midline shift was less than 4.5 mm, the probability of better prognosis was 95.5% (21 of 22). If the midline shift was more than 4.5 mm, the probability of poor prognosis was 42.1% (8 of 19). Patients with ICH less than 31 mL had higher survival rates, whereas if the ICH was more than 31 mL, 41.2% (7 of 17) had a poor clinical pathway. CONCLUSION: Even if the initial clinical condition of the patient was not promising, by carefully examining and taking into account all factors, neurosurgeons can confidently recommend surgical treatment for these patients.
URI
http://ir.ymlib.yonsei.ac.kr/handle/22282913/90927
DOI
10.3340/jkns.2012.52.2.80
Appears in Collections:
1. 연구논문 > 1. College of Medicine > Dept. of Neurosurgery
Yonsei Authors
사서에게 알리기
  feedback
Files in This Item:
T201203053.pdfDownload
Export
RIS (EndNote)
XLS (Excel)
XML

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse