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KMID : 0364519930050010065
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Dong-A Journal Medicine
1993 Volume.5 No. 1 p.65 ~ p.70
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Relationship of Clinical Status to Subarachnoid Hemorrhage in Acute Stage of Aneurysm Rupture of Anterior Communicating Artery.
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Abstract
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In 51 cases of ruptured aneurysm of anterior communicating artery verified by computerized tomography and 4-vessel angiography in acute stage, authors investigated the relationship of clinical status of patient to the amount and the distribution
of
subarachnoid hemorrhage, intracerebral hematoma and intraventricular hematoma according to the aneurysm direction.
@ES The results are as follows:
@EN 1. In the presence of larger subarachnoid blood clot or a layer of blood equal or grater than 1 mm in thickness in interhemispheric fissure, the clinical status of patients based on Hunt-Hess grading system were poor in acute stage.
2. In the cases of the aneurysm direction which point posteriorly and superiorly, the incidence of intracerebral hematoma and intraventricular hematoma was higher and the clinical status were also poor in acute stage.
Therefore, the accurate assesment of the amount and the distribution of subarachnoid hemorrhage helps to predict the clinical status of the patients and thereby provide appropriate therapeutic intervention.
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