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Non-aneurysmal spontaneous subarachnoid hemorrhage: perimesencephalic versus non-perimesencephalic
OBJECTIVE: To compare the clinical evolution of perimesencephalic subarachnoid hemorrhage and non-perimesencephalic subarachnoid hemorrhage. METHODS: The study was conducted retrospectively in a tertiary hospital center in the north region of Portugal. Included patients had no identifiable cause for...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Associação de Medicina Intensiva Brasileira -
AMIB
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4943051/ https://www.ncbi.nlm.nih.gov/pubmed/27410409 http://dx.doi.org/10.5935/0103-507X.20160028 |
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author | Coelho, Luís Guilherme Bastos Silva Aguiar Costa, José Manuel Dias Silva, Elsa Irene Peixoto Azevedo |
author_facet | Coelho, Luís Guilherme Bastos Silva Aguiar Costa, José Manuel Dias Silva, Elsa Irene Peixoto Azevedo |
author_sort | Coelho, Luís Guilherme Bastos Silva Aguiar |
collection | PubMed |
description | OBJECTIVE: To compare the clinical evolution of perimesencephalic subarachnoid hemorrhage and non-perimesencephalic subarachnoid hemorrhage. METHODS: The study was conducted retrospectively in a tertiary hospital center in the north region of Portugal. Included patients had no identifiable cause for subarachnoid hemorrhage. Several epidemiologic, clinical and imaging aspects were statistically analyzed, taking into account the differences in perimesencephalic subarachnoid hemorrhage and non-perimesencephalic subarachnoid hemorrhage. RESULTS: Sixty-two patients met the inclusion criteria (46.8% - perimesencephalic subarachnoid hemorrhage; 53.2% - non-perimesencephalic subarachnoid hemorrhage). Demographic and clinical background characteristics were similar in both groups. Complications were more frequent in patients with non-perimesencephalic subarachnoid hemorrhage - 84.8% of the patients had at least one complication versus 48.3% in perimesencephalic subarachnoid hemorrhage. Vasospasm, infection and hydrocephaly were the most common complications (each was detected more frequently in the non-perimesencephalic subarachnoid hemorrhage group than in perimesencephalic subarachnoid hemorrhage group). Two patients died, both had a non-perimesencephalic subarachnoid hemorrhage. The median inpatient time was longer in the non-perimesencephalic subarachnoid hemorrhage group (21 versus 14 days). No incidents of rebleeding were reported during the follow-up period (mean time of 15 ± 10.3 months). CONCLUSION: Perimesencephalic subarachnoid hemorrhage and non-perimesencephalic subarachnoid hemorrhage are two different entities that have different clinical outcomes, namely in terms of complication rate and median inpatient time. The management of these patients should respect this difference to improve treatment and optimize health care resources. |
format | Online Article Text |
id | pubmed-4943051 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | Associação de Medicina Intensiva Brasileira -
AMIB |
record_format | MEDLINE/PubMed |
spelling | pubmed-49430512016-07-14 Non-aneurysmal spontaneous subarachnoid hemorrhage: perimesencephalic versus non-perimesencephalic Coelho, Luís Guilherme Bastos Silva Aguiar Costa, José Manuel Dias Silva, Elsa Irene Peixoto Azevedo Rev Bras Ter Intensiva Original Article OBJECTIVE: To compare the clinical evolution of perimesencephalic subarachnoid hemorrhage and non-perimesencephalic subarachnoid hemorrhage. METHODS: The study was conducted retrospectively in a tertiary hospital center in the north region of Portugal. Included patients had no identifiable cause for subarachnoid hemorrhage. Several epidemiologic, clinical and imaging aspects were statistically analyzed, taking into account the differences in perimesencephalic subarachnoid hemorrhage and non-perimesencephalic subarachnoid hemorrhage. RESULTS: Sixty-two patients met the inclusion criteria (46.8% - perimesencephalic subarachnoid hemorrhage; 53.2% - non-perimesencephalic subarachnoid hemorrhage). Demographic and clinical background characteristics were similar in both groups. Complications were more frequent in patients with non-perimesencephalic subarachnoid hemorrhage - 84.8% of the patients had at least one complication versus 48.3% in perimesencephalic subarachnoid hemorrhage. Vasospasm, infection and hydrocephaly were the most common complications (each was detected more frequently in the non-perimesencephalic subarachnoid hemorrhage group than in perimesencephalic subarachnoid hemorrhage group). Two patients died, both had a non-perimesencephalic subarachnoid hemorrhage. The median inpatient time was longer in the non-perimesencephalic subarachnoid hemorrhage group (21 versus 14 days). No incidents of rebleeding were reported during the follow-up period (mean time of 15 ± 10.3 months). CONCLUSION: Perimesencephalic subarachnoid hemorrhage and non-perimesencephalic subarachnoid hemorrhage are two different entities that have different clinical outcomes, namely in terms of complication rate and median inpatient time. The management of these patients should respect this difference to improve treatment and optimize health care resources. Associação de Medicina Intensiva Brasileira - AMIB 2016 /pmc/articles/PMC4943051/ /pubmed/27410409 http://dx.doi.org/10.5935/0103-507X.20160028 Text en http://creativecommons.org/licenses/by/4.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Coelho, Luís Guilherme Bastos Silva Aguiar Costa, José Manuel Dias Silva, Elsa Irene Peixoto Azevedo Non-aneurysmal spontaneous subarachnoid hemorrhage: perimesencephalic versus non-perimesencephalic |
title | Non-aneurysmal spontaneous subarachnoid hemorrhage: perimesencephalic
versus non-perimesencephalic |
title_full | Non-aneurysmal spontaneous subarachnoid hemorrhage: perimesencephalic
versus non-perimesencephalic |
title_fullStr | Non-aneurysmal spontaneous subarachnoid hemorrhage: perimesencephalic
versus non-perimesencephalic |
title_full_unstemmed | Non-aneurysmal spontaneous subarachnoid hemorrhage: perimesencephalic
versus non-perimesencephalic |
title_short | Non-aneurysmal spontaneous subarachnoid hemorrhage: perimesencephalic
versus non-perimesencephalic |
title_sort | non-aneurysmal spontaneous subarachnoid hemorrhage: perimesencephalic
versus non-perimesencephalic |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4943051/ https://www.ncbi.nlm.nih.gov/pubmed/27410409 http://dx.doi.org/10.5935/0103-507X.20160028 |
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