A population-based study of prognosis of ruptured cerebral aneurysm: mortality and recurrence of subarachnoid hemorrhage.
Cast your vote
You can rate an item by clicking the amount of stars they wish to award to this item.
When enough users have cast their vote on this item, the average rating will also be shown.
Your vote was cast
Thank you for your feedback
Thank you for your feedback
MetadataShow full item record
CitationNeurology. 1997, 48(5):1191-5
AbstractOBJECTIVE: To determine the risk of recurrent subarachnoid hemorrhage (SAH), mortality, and relative survivorship following SAH caused by ruptured cerebral aneurysm (RCA). DESIGN/METHODS: The 86 individuals with a first diagnosis of SAH caused by RCA in Iceland from 1958 through 1968 were followed a minimum of 24 years (range, 24 to 32.5 years) or until death to determine mortality and to identify those with recurrent SAH. RESULTS: Thirty-eight patients (44%) died within 30 days of the index event. Two additional (both comatose from onset of ictus) died in the following month. There were no deaths between 3 and 6 months after onset. Based upon the age/gender-specific person years of observation for the population of Iceland, the Standardized Mortality Ratio for the 44 surgically treated patients surviving 6 months was 1.3. Those neurologically normal or with only mild impairment at 6 months had no identified increase in mortality. Excess mortality that was limited to individuals with severe neurologic deficit at 6 months could be identified through the first 10 years after onset. Two 6-month survivors experienced recurrent SAH. CONCLUSIONS: Early mortality is high (47%) in patients with RCA. In patients operated on for RCA and surviving 6 months, recurrent SAH occurred in 5%. Survivorship among patients surgically treated and neurologically normal or with mild residual neurologic impairment at 6 months following presentation was similar to that expected in the general population. Survivorship among patients surgically treated who had severe residual neurologic impairment at 6 months was significantly reduced.
DescriptionTo access publisher full text version of this article. Please click on the hyperlink in Additional Links field
- Pediatric stroke among Hong Kong Chinese subjects.
- Authors: Chung B, Wong V
- Issue date: 2004 Aug
- No long-term excess mortality in 280 patients with ruptured distal anterior cerebral artery aneurysms.
- Authors: Lehecka M, Niemelä M, Seppänen J, Lehto H, Koivisto T, Ronkainen A, Rinne J, Sankila R, Jääskeläinen J, Hernesniemi J
- Issue date: 2007 Feb
- Unexpected results in long-term medically treated ruptured intracranial aneurysm including data on 14 patients followed more than 30 years each.
- Authors: Slosberg PS
- Issue date: 1997
- Selection of cerebral aneurysms for treatment using Guglielmi detachable coils: the preliminary University of Illinois at Chicago experience.
- Authors: Debrun GM, Aletich VA, Kehrli P, Misra M, Ausman JI, Charbel F
- Issue date: 1998 Dec
- Late recurrence of subarachnoid hemorrhage after treatment for ruptured aneurysms: patient characteristics and outcomes.
- Authors: Wermer MJ, Rinkel GJ, Greebe P, Albrecht KW, Dirven CM, Tulleken CA
- Issue date: 2005 Feb