Recent treatment trend of subarachnoid hemorrhage patients is early neurosurgical operation to reduce late complications of delayed cerebral vasospasm or rebleeding by removing the vasospamogenic blood clots. So, final functional outcomes have
been
improved.
The compare the functional outcomes of subarachnoid hemorrhage patients to that of infarction or intracranial hemorrhage patients, 38 selected patients with cerebrovascular accidents were studied in a 33-month period.
Parameters that were studies were nature, location and size of the lesion and their functional status. Final functional status was measured utilizing Modified Barthel Index, Brunnstrom stage at discharge. Duration of rehabilitation stay,
rehabilitation
efficiency and achievement of rehabilitation potentials were also considered.
To study the factors influencing the fuctional outcomes of subarachnoid hemorrhage patients, clinical conditions on admission utilizing sum of Glasgow Coma Scale, Hunt-Hess system, consciousness level and the presence of Hydrocephalus and loss of
consciousness were also analyzed.
@ES The major results are as follows:
@EN 1) Vasospasms or rebleedings of subarachnoid hemorrhage have better functional outcome than infarction or intracranial hemorrhage of other stroke.
2) There are different prognostic groups in subarachnoid hemorrhage on location of aneurysm, and middle cerebral artery aneurysm has better functional outcome than the basilar artery aneurysm.
3) Subarachnoid hemorrhage of middle cerebral artery aneurysm and small sized infarction or intracranial hemorrhage are about the same fuctional outcome, but the subarachnoid hemorrhage of basilar artery aneurysm has worse prognosis than large
sized
infarction or intracranial hemorrhage.
4) In predicting the functional outcomes of subarachnoid hemorrhage, location of aneurysm and presence of hydrocephalus or loss of consciousness are of prognostic values.
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