The relation between aneurysm size and outcome in patients with subarachnoid hemorrhage

被引:38
作者
Roos, EJ [1 ]
Rinkel, GJE [1 ]
Velthuis, BK [1 ]
Algra, A [1 ]
机构
[1] Univ Utrecht, Dept Neurol, NL-3584 CX Utrecht, Netherlands
关键词
aneurysm size; outcome; subarachnoid hemorrhage;
D O I
10.1212/WNL.54.12.2334
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The balance of risks of treatment for unruptured aneurysms might change if the prognosis after rupture depends on the size of the aneurysm. In a prospective series of patients with subarachnoid hemorrhage in whom aneurysmal size was measured by CT angiography performed on admission, poor outcome occurred more often in patients with large (greater than or equal to 10 mm) aneurysms (63%) than in patients with small (<10 mm) aneurysms (41%; RR = 1.5; 95% CI 1.0 to 2.2). The relative risk remained essentially the same after adjustment for age, gender, location of the aneurysm, and amount of cisternal blood.
引用
收藏
页码:2334 / 2336
页数:3
相关论文
共 9 条
[1]  
DRAKE CG, 1988, J NEUROSURG, V68, P985
[2]   GRADING THE AMOUNT OF BLOOD ON COMPUTED TOMOGRAMS AFTER SUBARACHNOID HEMORRHAGE [J].
HIJDRA, A ;
BROUWERS, PJAM ;
VERMEULEN, M ;
VANGIJN, J .
STROKE, 1990, 21 (08) :1156-1161
[3]   Case-fatality rates and functional outcome after subarachnoid hemorrhage - A systematic review [J].
Hop, JW ;
Rinkel, GJE ;
Algra, A ;
vanGijn, J .
STROKE, 1997, 28 (03) :660-664
[4]   Initial loss of consciousness and risk of delayed cerebral ischemia after aneurysmal subarachnoid hemorrhage [J].
Hop, JW ;
Rinkel, GJE ;
Algra, A ;
van Gijn, J .
STROKE, 1999, 30 (11) :2268-2271
[5]   Mortality and morbidity of surgery for unruptured intracranial aneurysms - A meta-analysis [J].
Raaymakers, TWM ;
Rinkel, GJE ;
Limburg, M ;
Algra, A .
STROKE, 1998, 29 (08) :1531-1538
[6]   Prevalence and risk of rupture of intracranial aneurysms - A systematic review [J].
Rinkel, GJE ;
Djibuti, M ;
Algra, A ;
van Gijn, J .
STROKE, 1998, 29 (01) :251-256
[7]   PATIENTS WITH RUPTURED INTRACRANIAL SACCULAR ANEURYSMS - CLINICAL-FEATURES AND OUTCOME ACCORDING TO THE SIZE [J].
ROSENORN, J ;
ESKESEN, V .
BRITISH JOURNAL OF NEUROSURGERY, 1994, 8 (01) :73-78
[8]   DECISION-ANALYSIS OF THE MANAGEMENT OF INCIDENTAL INTRACRANIAL SACCULAR ANEURYSMS [J].
VANCREVEL, H ;
HABBEMA, JDF ;
BRAAKMAN, R .
NEUROLOGY, 1986, 36 (10) :1335-1339
[9]   DETECTION OF CIRCLE OF WILLIS ANEURYSMS IN PATIENTS WITH ACUTE SUBARACHNOID HEMORRHAGE - A COMPARISON OF CT ANGIOGRAPHY AND DIGITAL SUBTRACTION ANGIOGRAPHY [J].
VIECO, PT ;
SHUMAN, WP ;
ALSOFROM, GF ;
GROSS, CE .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1995, 165 (02) :425-430