Korean J Cerebrovasc Dis.  2000 Mar;2(1):24-29.

Preoperative Grading Systems of Spontaneous Subarachnoid Hemorrhage

• Hwang SN

Abstract

Since the first grading system of the subarachnoid hemorrhage was introduced by Botterell in 1956, various grading systems have been presented-mostly based on Botterell's or Glasgow Coma Scale-and studied for their universal validity. At the beginning, management plan for the patients solely depended on the grade of the applied grading system but after introduction of CT and microscope into the diagnosis and surgery for the aneurysmal subarachnoid hemorrhage and better understanding and management of vasospasm, the role of grading system has been changed to emphasize more on the predictability of the postsurgical outcome. The author reviewed the most popular and widely used grading systems to figure out their significance in predicting outcome and clinical applicability.

Keyword

Spontaneous subarachnoid hemorrhage; Cerebral aneurysm; Grading system; Classification

MeSH Terms

Classification
Coma
Diagnosis
Humans
Intracranial Aneurysm
Subarachnoid Hemorrhage*