Operative outcome of ruptured saccular aneurysms of the anterior cerebral circulation at Siriraj Hospital : A personal series.
| dc.contributor.author | Saesue, Prajak | |
| dc.date.accessioned | 2012-03-20T09:35:11Z | |
| dc.date.available | 2012-03-20T09:35:11Z | |
| dc.date.issued | 2002-05 | |
| dc.description.abstract | This retrospective study analysed the data regarding the operative outcome of patients who had subarachnoid hemorrhage (SAH) from rupture of a saccular aneurysm of the anterior cerebral circulation. All patients were operated on by the author between July 1997 and November 2001 at Siriraj Hospital. A total of 62 patients were included in this study. All patients were assessed on admission using Hunt and Hess classification. There were 5 patients (8.1%) in Grade 1, 12 patients (19.4%) in Grade 2, 37 patients (59.7%) in Grade 3, 7 patients (11.3%) in Grade 4, and 1 patient (1.6%) in Grade 5. A uniform management protocol was used in every patient including intensive cardiovascular monitoring, calcium channel blocker administration, early surgery clipping the aneurysm and aggressive anti-ischemic treatment. There were 22 patients (35.5%) who received early surgery (within 72 hours of the SAH), 12 patients (19.4%) received intermediate surgery (between Day 4 and day 6 following SAH) and 28 individuals (45.1%) had late surgery (Day 7 or later following SAH). At 6 months after the SAH, favorable outcome (Glasgow Outcome Scale: GOS 1 and 2) was achieved in 55 patients (88.7%), unfavorable outcome (GOS 3 and 4) in 1 patient (1.6%) and death in 6 patients (9.7%). The causes of death were surgically related in 3 patients (4.8%) and non-surgically related (delayed ischemic complication and sepsis) in 3 patients (4.8%). | en_US |
| dc.identifier.citation | Saesue Prajak. Operative outcome of ruptured saccular aneurysms of the anterior cerebral circulation at Siriraj Hospital : A personal series. Siriraj Medical Journal, 2002 May; 54(5): 263-270. | en_US |
| dc.identifier.uri | https://imsear.searo.who.int/handle/123456789/137268 | |
| dc.language.iso | en | en_US |
| dc.source.uri | https://www.sirirajmedj.com/content_download.php?content_id=962 | en_US |
| dc.subject | Ruptured saccular aneurysms | en_US |
| dc.subject | Anterior cerebral circulation | en_US |
| dc.title | Operative outcome of ruptured saccular aneurysms of the anterior cerebral circulation at Siriraj Hospital : A personal series. | en_US |
| dc.type | Article | en_US |