Document Detail


Angiographic analysis of venous drainage and a variant basal vein of Rosenthal in spontaneous idiopathic subarachnoid hemorrhage.
MedLine Citation:
PMID:  20692171     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
The aim of this study was to examine the clinical characteristics and angiographic findings of spontaneous idiopathic subarachnoid hemorrhage (ISAH) and to compare these with those of aneurysmal SAH (ASAH). We retrospectively reviewed the clinical characteristics and venograms of 118 consecutive patients with ISAH during the past 10years for possible abnormalities in venous structures. Also, 57 patients with ASAH during the past 4years were examined. Patients with ISAH showed low frequency of hypertension and no patient suffered from an episode of re-bleeding, or delayed ischemic deficits. Physical actions, including varieties of the Valsalva maneuver, were the causes of ISAH in 17 (29.8%) patients. Compared with patients with ASAH, patients with ISAH showed a significant difference in the drainage patterns of the basal vein of Rosenthal (BVR) (p=0.001). In addition, whereas a linearly decreasing trend toward the primitive type was evident in ASAH, each drainage pattern was distributed evenly in ISAH (linear by linear association, p=0.000). In this study, the primitive drainage pattern of BVR has a relationship with ISAH compared to ASAH. The way in which this venous configuration might influence bleeding remains unknown.
Authors:
Ji Hye Song; Je Young Yeon; Kun Ha Kim; Pyung Jeon; Jong Soo Kim; Seung-Chyul Hong
Publication Detail:
Type:  Journal Article     Date:  2010-08-06
Journal Detail:
Title:  Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia     Volume:  17     ISSN:  1532-2653     ISO Abbreviation:  J Clin Neurosci     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-09-27     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9433352     Medline TA:  J Clin Neurosci     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  1386-90     Citation Subset:  IM    
Copyright Information:
Copyright © 2010 Elsevier Ltd. All rights reserved.
Affiliation:
Department of Neurosurgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, 50 IL-Won Dong, Kang-Nam Ku, Seoul 135-710, Republic of Korea.
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