Document Detail


Non-traumatic subarachnoid hemorrhage with normal angiogram. Long-term follow-up and CT predictors of complications.
MedLine Citation:
PMID:  1578229     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We investigated 91 patients with non-traumatic subarachnoid hemorrhage (SAH) in whom no aneurysm was found on initial angiography. In 31 of these patients CT did not show subarachnoid blood. A typical feature was a localized blood clot in the prepontine or interpeduncular cistern. Follow-up was obtained 6 months to 11.8 years after SAH by personal re-examination (n = 49) or questionnaire sent to patients or their doctors. 79 patients were free of neurological signs, 3 had a mild and one a severe neurological deficit. Five patients had died from SAH. Those patients who died or had complications often had blood in the frontal basal interhemispheric fissure. None of the 3 therapeutic regimens applied proved to be superior. We conclude that prognosis is good, but an unidentified aneurysm must be considered and repeat angiogram is warranted if blood is found in the anterior part of the basal cisterns. When the hemorrhage is in the prepontine cistern, repeat angiogram is not necessary.
Authors:
A Ferbert; I Hubo; R Biniek
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the neurological sciences     Volume:  107     ISSN:  0022-510X     ISO Abbreviation:  J. Neurol. Sci.     Publication Date:  1992 Jan 
Date Detail:
Created Date:  1992-06-09     Completed Date:  1992-06-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0375403     Medline TA:  J Neurol Sci     Country:  NETHERLANDS    
Other Details:
Languages:  eng     Pagination:  14-8     Citation Subset:  IM    
Affiliation:
Department of Neurology, Medical Faculty, Rheinisch-Westfälisch Technische Hochschule, Aachen, Germany.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Cerebral Angiography
Female
Follow-Up Studies
Humans
Male
Middle Aged
Prognosis
Subarachnoid Hemorrhage / complications,  radiography*,  therapy
Tomography, X-Ray Computed

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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