Document Detail


Patients with ruptured intracranial saccular aneurysms: clinical features and outcome according to the size.
MedLine Citation:
PMID:  8011198     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In the prospective consecutive Danish Aneurysm Study 192 patients (19%) had a ruptured intracranial aneurysm (RA) with a maximum diameter < 5 mm (small). In 524 (51%) and 306 patients (30%) the size was 5-10 mm (medium) and 11-24 mm (large), respectively. More patients with large RA (35%) were unconscious more than 1 h after the bleeding and had more CT-visualized haematomas (49%) compared with the patients with small RA (28 and 34%) and medium RA (27 and 37%). After 2 years, more patients with small RA and medium RA had resumed their previous occupation (49 and 49%), regained a normal daily functional capacity (55%, 55%) and normal mental outcome (29 and 32%) compared with the patients with large RA (34, 44 and 23%). The mortality was 47, 39 and 51% for patients with small, medium and large RA, respectively. With also a very serious prognosis after rupture of aneurysms of 10 mm or less and even less than 5 mm we also recommend surgical treatment of unruptured aneurysms of these sizes.
Authors:
J Rosenørn; V Eskesen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  British journal of neurosurgery     Volume:  8     ISSN:  0268-8697     ISO Abbreviation:  Br J Neurosurg     Publication Date:  1994  
Date Detail:
Created Date:  1994-07-27     Completed Date:  1994-07-27     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8800054     Medline TA:  Br J Neurosurg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  73-8     Citation Subset:  IM    
Affiliation:
University Clinics of Neurosurgery, Copenhagen County Hospital, Glostrup, Denmark.
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living / classification
Adolescent
Adult
Aged
Aneurysm, Ruptured / mortality,  radiography,  surgery*
Coma / etiology,  mortality
Female
Follow-Up Studies
Humans
Intracranial Aneurysm / mortality,  radiography,  surgery*
Male
Middle Aged
Nervous System Diseases / etiology*,  mortality
Postoperative Complications / etiology*,  mortality
Subarachnoid Hemorrhage / mortality,  radiography,  surgery*
Survival Rate
Tomography, X-Ray Computed
Comments/Corrections
Comment In:
Br J Neurosurg. 1995;9(1):107   [PMID:  7786419 ]

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