دورية أكاديمية
Non-aneurysmal spontaneous subarachnoid hemorrhage: perimesencephalic versus non-perimesencephalic.
| العنوان: | Non-aneurysmal spontaneous subarachnoid hemorrhage: perimesencephalic versus non-perimesencephalic. |
|---|---|
| عنوان ترانسليتريتد: | Hemorragia subaracnóidea espontânea não aneurismática: perimesencefálica versus não perimesencefálica. |
| المؤلفون: | Coelho LG; Departamento de Neurorradiologia, Centro Hospitalar de São João, Porto, Portugal., Costa JM; Departamento de Neurorradiologia, Centro Hospitalar de São João, Porto, Portugal., Silva EI; Departamento de Neurologia, Centro Hospitalar de São João, Porto, Portugal. |
| المصدر: | Revista Brasileira de terapia intensiva [Rev Bras Ter Intensiva] 2016 Jun; Vol. 28 (2), pp. 141-6. |
| نوع المنشور: | Journal Article |
| اللغة: | English; Portuguese |
| بيانات الدورية: | Publisher: Associação de Medicina Intensiva Brasileira Country of Publication: Brazil NLM ID: 9506692 Publication Model: Print Cited Medium: Internet ISSN: 1982-4335 (Electronic) Linking ISSN: 0103507X NLM ISO Abbreviation: Rev Bras Ter Intensiva Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: [Rio de Janeiro] : Associação de Medicina Intensiva Brasileira, |
| مواضيع طبية MeSH: | Hydrocephalus/*etiology , Infections/*etiology , Subarachnoid Hemorrhage/*physiopathology , Vasospasm, Intracranial/*etiology, Adult ; Aged ; Female ; Follow-Up Studies ; Humans ; Hydrocephalus/epidemiology ; Infections/epidemiology ; Length of Stay ; Male ; Middle Aged ; Portugal ; Retrospective Studies ; Subarachnoid Hemorrhage/complications ; Tertiary Care Centers ; Time Factors ; Vasospasm, Intracranial/epidemiology |
| مستخلص: | Objective: To compare the clinical evolution of perimesencephalic subarachnoid hemorrhage and non-perimesencephalic subarachnoid hemorrhage. Methods: The study was conducted retrospectively in a tertiary hospital center in the north region of Portugal. Included patients had no identifiable cause for subarachnoid hemorrhage. Several epidemiologic, clinical and imaging aspects were statistically analyzed, taking into account the differences in perimesencephalic subarachnoid hemorrhage and non-perimesencephalic subarachnoid hemorrhage. Results: Sixty-two patients met the inclusion criteria (46.8% - perimesencephalic subarachnoid hemorrhage; 53.2% - non-perimesencephalic subarachnoid hemorrhage). Demographic and clinical background characteristics were similar in both groups. Complications were more frequent in patients with non-perimesencephalic subarachnoid hemorrhage - 84.8% of the patients had at least one complication versus 48.3% in perimesencephalic subarachnoid hemorrhage. Vasospasm, infection and hydrocephaly were the most common complications (each was detected more frequently in the non-perimesencephalic subarachnoid hemorrhage group than in perimesencephalic subarachnoid hemorrhage group). Two patients died, both had a non-perimesencephalic subarachnoid hemorrhage. The median inpatient time was longer in the non-perimesencephalic subarachnoid hemorrhage group (21 versus 14 days). No incidents of rebleeding were reported during the follow-up period (mean time of 15 ± 10.3 months). Conclusion: Perimesencephalic subarachnoid hemorrhage and non-perimesencephalic subarachnoid hemorrhage are two different entities that have different clinical outcomes, namely in terms of complication rate and median inpatient time. The management of these patients should respect this difference to improve treatment and optimize health care resources. |
| References: | Surg Neurol. 2009 May;71(5):566-71; discussion 571,571-2,572. (PMID: 18617230) Surg Neurol. 2002 Mar;57(3):160-5; discussion 165-6. (PMID: 12009538) Neurosurgery. 1996 Sep;39(3):433-40; discussion 440. (PMID: 8875472) Stroke. 2012 Jun;43(6):1711-37. (PMID: 22556195) Neurosurgery. 2008 May;62(5):1040-6; discussion 1047. (PMID: 18580801) Eur J Neurol. 2012 Mar;19(3):457-61. (PMID: 21972883) Neurocrit Care. 2009;11(2):183-9. (PMID: 19472085) Neurology. 2004 May 11;62(9):1468-81. (PMID: 15136667) Rev Bras Ter Intensiva. 2014 Apr-Jun;26(2):193-9. (PMID: 25028955) J Neurosurg. 2009 Jan;110(1):67-72. (PMID: 18821830) J Clin Neurosci. 2006 Dec;13(10 ):1011-7. (PMID: 16931020) Lancet. 2007 Jan 27;369(9558):306-18. (PMID: 17258671) Neurology. 1985 Apr;35(4):493-7. (PMID: 3982634) Neurocrit Care. 2006;4(3):229-33. (PMID: 16757828) J Clin Neurosci. 2009 Jul;16(7):904-8. (PMID: 19362482) Rev Bras Ter Intensiva. 2010 Sep;22(3):310-4. (PMID: 25302440) Curr Atheroscler Rep. 2012 Aug;14 (4):328-34. (PMID: 22638876) AJNR Am J Neuroradiol. 2010 Sep;31(8):1355-62. (PMID: 20093311) J Cerebrovasc Endovasc Neurosurg. 2012 Sep;14(3):186-91. (PMID: 23210046) Neurosurgery. 2007 Dec;61(6):1139-50; discussion 1150-1. (PMID: 18162892) Stroke. 2005 Dec;36(12):2773-80. (PMID: 16282541) Brain. 2001 Feb;124(Pt 2):249-78. (PMID: 11157554) Lancet. 1991 Oct 19;338(8773):964-8. (PMID: 1681340) Neurocrit Care. 2009;11(1):64-70. (PMID: 19277905) Neurology. 2011 Nov 15;77(20):1833-9. (PMID: 22049205) J Neurosurg. 2008 Dec;109 (6):1034-41. (PMID: 19035716) Neurocirugia (Astur). 2010 Dec;21(6):441-51. (PMID: 21165541) |
| تواريخ الأحداث: | Date Created: 20160714 Date Completed: 20170322 Latest Revision: 20191210 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC4943051 |
| DOI: | 10.5935/0103-507X.20160028 |
| PMID: | 27410409 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1982-4335 |
|---|---|
| DOI: | 10.5935/0103-507X.20160028 |