Document Detail

Intracranial aneurysms in Sarawak General Hospital over a 30-month period.
MedLine Citation:
PMID:  14975412     Owner:  NLM     Status:  MEDLINE    
This is a prospective study conducted from February 2000 to July 2002 in a single neurosurgeon neurosurgical service in the state of Sarawak, Malaysia. There were 66 cases of subarachnoid hemorrhage or intracranial aneurysm presenting to this hospital over the study period. Fifty cases had their aneurysms clipped. Eighty percent of our patients were operated within 48 h of presentation. Forty-four percent presented with poor WFNS grades of 4 and 5. We had a 20% operative mortality and 29% total management mortality. Twenty-nine (58%) of the operated cases had a favorable outcome with a mean follow-up of 32 weeks. Multiple aneurysms were less common. The diagnosis of aneuysmal subarachnoid hemorrhage and clipping of aneurysms have increased dramatically over the previous two and half years indicating an increased awareness of the diagnosis and treatment. This series supports the previously reported beliefs that the lower rate of aneurymal subarachnoid hemorrhage in developing countries is likely due to both underdiagnosis and undertreatment. Good results can be achieved in developing countries with early diagnosis and intensive management.
J S Wong; K H Ng; S H Wong
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia     Volume:  11     ISSN:  0967-5868     ISO Abbreviation:  J Clin Neurosci     Publication Date:  2004 Apr 
Date Detail:
Created Date:  2004-02-20     Completed Date:  2007-06-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9433352     Medline TA:  J Clin Neurosci     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  254-8     Citation Subset:  IM    
Hospital Umum Sarawak, Jalan Tun Ahmad Zaidi Adruce, Kuching, Sarawak, Malaysia.
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MeSH Terms
Age Factors
Aged, 80 and over
Cohort Studies
Developing Countries
Glasgow Coma Scale
Glasgow Outcome Scale
Hospital Mortality
Intracranial Aneurysm / complications,  epidemiology*,  surgery
Malaysia / epidemiology
Middle Aged
Neurosurgical Procedures / mortality
Prospective Studies
Subarachnoid Hemorrhage / epidemiology,  etiology,  surgery
Treatment Outcome

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