脳動脈りゅう再破裂例の検討　　特に脳血管れん縮と手術時期について

DOI

書誌事項

タイトル別名
  • Symptomatic vasospasm in reruptured aneurysmal cases.
  • 特に脳血管攣縮と手術時期について

説明

The authors analyzed 46 patients of reruptured aneurysms with special reference to the incidence of the symptomatic vasospasm, timing of the surgery and the outcome. Rerupture most often occurred within 24 hours and between 8 to 14 days after initial subarachnoid hemorrhage in our series. Reruptured cases showed high Hunt and Hess grades (III-IV) after rerupture because of complication of intraventricular or intracerebral hematoma in addition to severe subarachnoid hemorrhage.<BR>Surgery was divided into acute (within 3 days after rerupture) and delayed surgery groups (14 days after rerupture) from timing of the operation and the outcome was better in delayed surgery groups than acute surgery groups except in cases in which rerupture occurred within 24 hours after initial subarachnoid hemorrhage, and reruptured cases even with low Hunt and Hess grades had no better outcome than those reuptured cases with high Hunt and Hess grades (III) because of high incidence of symptomatic vasospasm after surgery. From the above results, dalayed surgery should be recommended in reruptured aneurysmal cases to reduce the occurrence of symptomatic vasospasm after surgery.

収録刊行物

  • 脳卒中

    脳卒中 10 (5), 423-430, 1988

    一般社団法人 日本脳卒中学会

キーワード

詳細情報 詳細情報について

  • CRID
    1390282679616177280
  • NII論文ID
    130003630747
  • DOI
    10.3995/jstroke.10.423
  • ISSN
    18831923
    09120726
  • 本文言語コード
    ja
  • データソース種別
    • JaLC
    • Crossref
    • CiNii Articles
  • 抄録ライセンスフラグ
    使用不可

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