دورية أكاديمية
Safety and feasibility of combined coiling and neuroendoscopy for better outcomes in the treatment of severe subarachnoid hemorrhage accompanied by massive intraventricular hemorrhage.
| العنوان: | Safety and feasibility of combined coiling and neuroendoscopy for better outcomes in the treatment of severe subarachnoid hemorrhage accompanied by massive intraventricular hemorrhage. |
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| المؤلفون: | Iwaasa M; Department of Neurosurgery, Faculty of Medicine, Fukuoka University, 7-45-1 Nanakuma, Jounan-ku, Fukuoka City, Fukuoka 814-0180, Japan., Ueba T, Nonaka M, Okawa M, Abe H, Higashi T, Inoue T |
| المصدر: | Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia [J Clin Neurosci] 2013 Sep; Vol. 20 (9), pp. 1264-8. Date of Electronic Publication: 2013 Jul 04. |
| نوع المنشور: | Case Reports; Journal Article; Review |
| اللغة: | English |
| بيانات الدورية: | Publisher: Churchill Livingstone Country of Publication: Scotland NLM ID: 9433352 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-2653 (Electronic) Linking ISSN: 09675868 NLM ISO Abbreviation: J Clin Neurosci Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: <2000->: Edinburgh : Churchill Livingstone Original Publication: Melbourne, Vic., Australia : Churchill Livingstone, c1994- |
| مواضيع طبية MeSH: | Cerebral Ventriculography*/methods , Severity of Illness Index*, Cerebral Ventricles/*surgery , Neuroendoscopy/*methods , Subarachnoid Hemorrhage/*diagnostic imaging , Subarachnoid Hemorrhage/*surgery, Aged ; Feasibility Studies ; Female ; Follow-Up Studies ; Humans ; Male ; Middle Aged ; Treatment Outcome |
| مستخلص: | Subarachnoid hemorrhage (SAH) with intraventricular hemorrhage (IVH) is associated with poor outcomes. The aim of this study was to evaluate the safety and feasibility of combined coiling and neuroendoscopy for treating severe SAH with massive IVH. Between April 2008 and June 2011, 49 patients with a severe SAH were treated at the Department of Neurosurgery, Fukuoka University, Japan; 10 of these patients had a massive IVH with a ruptured aneurysm. All 10 patients (three men and seven women; mean age, 63.1±8.5 years) were treated with coiling and neuroendoscopic removal of the IVH within 2 days of onset. Coiling was successfully performed at a mean volume embolization ratio of 21.8±5.5%. Neuroendoscopic removal of the IVH reduced the mean Graeb score from 10.5±2.0 to 4.8±2.5 (p=0.005). All external drains were removed on day 3. No rebleeding or acute hydrocephalus was noted. The Glasgow Outcome Scale scores at discharge indicated two patients with good recovery, three with moderate disability, four in a vegetative state, and one dead. A good modified Rankin Scale (mRS) score (0-2) at least 6 months later (mean follow-up period, 15.4±9.2 months) was observed for five patients (50%), and a poor mRS score (3-6) was observed for the remaining four patients. Neuroendoscopically removing the IVH from all of the ventricles between the lateral and the fourth ventricle and coiling the ruptured aneurysm is a safe, feasible approach for treating severe SAH with massive IVH. (Copyright © 2013 Elsevier Ltd. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Coiling; Intraventricular hemorrhage; Modified Rankin scale; Neuroendoscopy; Subarachnoid hemorrhage |
| تواريخ الأحداث: | Date Created: 20130709 Date Completed: 20140408 Latest Revision: 20161125 |
| رمز التحديث: | 20231215 |
| DOI: | 10.1016/j.jocn.2012.09.042 |
| PMID: | 23830690 |
| قاعدة البيانات: | MEDLINE |
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Full Text Finder | تدمد: | 1532-2653 |
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| DOI: | 10.1016/j.jocn.2012.09.042 |