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Risk Factors of Seizures Associated with the Management of Ruptured Cerebral Aneurysms

Authors
 Tae-Yup Kim  ;  Seung-Kon Huh  ;  Jae-Whan Lee  ;  Kyu Chang Lee 
Citation
 Korean Journal of Cerebrovascular Surgery (대한뇌혈관외과학회지), Vol.8(1) : 10-14, 2006 
Journal Title
Korean Journal of Cerebrovascular Surgery(대한뇌혈관외과학회지)
ISSN
 1738-0499 
Issue Date
2006
Keywords
Seizure ; Subarachnoid hemorrhage ; Cerebral 무뎌교느
Abstract
Objective : This study was designed to to analyze the associated risk factors of seizure after aneurysmal subarachnoid hemorrhage(SAH) for providing guidelines of prophylactic antiepileptic drug administration.
Method : We retrospectively reviewed the programmed clinical database and radiographic findings of the patients with aneurysmal SAH who were treated from March 1996 to August 2004 and followed up for more than one year.
Result : A total of 512 patients were enrolled. 20 patients (3.9%) presented with seizures. Aneurysm location and size were not associated with seizures. The incidence of seizure was significantly different in the Hunt & Hess Grade IV patients (8.6%) and V patients (23.1%). Fisher Grade IV was associated with a significantly higher risk of the seizure (12.2%). The incidence of seizure was higher in patients with hydrocephalus (6.7%), intracerebral hematoma (8.8%), and decompressive lobectomy (14.3%).
Conclusion : The overall incidence of seizures was 3.9%. Risk factors of seizures were poor clinical grade (Hunt &Hess Grade IV and V), higher Fisher Grade (IV), hydrocephalus, intracerebral hematoma, and decompressive lobectomy.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
Yonsei Authors
Lee, Jae Whan(이재환)
Huh, Seung Kon(허승곤)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/109360
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