J Korean Neurosurg Soc.
1991 Dec;20(12):1014-1020.
Delayed Ischemic Deficit following Spontaneous Subarachnoid Homorrhage
- Affiliations
-
- 1Departments of Neurosurgery, College of Medicine, Chung-Ang University, Seoul, Korea.
Abstract
- Of 286 patients with spontaneous subarachnoid hemorrhage over the past 5 years, 201 patients underwent operation after confirming the ruptured aneurysms. Among the operated patients, 31 developed dealyed ischemic deficit(DID) pre-or post-operatively. DID developed as early as 4 dyas and as late as 29 dyas after the subarachnoid hemorrhage. The severity of hemorrhage based on Fisher group, subarachnoid hemorrhage assoicated with intracerebral hemorrhage and/or intraventricular hemorrhage, surgery within 3 days after the subarachnoid hemorrhage were closely related with higher incidence of DID. Inspite of vigorous therapy, 3 died but 23 recovered satisfactorily.