Document Detail

Spontaneous subarachnoid hemorrhage in young adults.
MedLine Citation:
PMID:  3696399     Owner:  NLM     Status:  MEDLINE    
We evaluated 95 hospitalized patients (50 women and 45 men) aged 15 to 45 who had nontraumatic subarachnoid hemorrhage (SAH). Aneurysmal SAH was identified in 75 patients. Other causes for SAH were ruptured arteriovenous malformations (2 cases), amphetamine arteritis (1 case), and leptomeningeal melanoma (1 case). The cause of SAH was undetermined in 16 (17%) patients. Thirteen patients had histories of hypertension, 5 used oral contraceptives, and 4 had consumed large quantities of alcohol during the day before SAH. Only 1 patient had Type I diabetes mellitus. Diagnosis was delayed in 21 patients. Operation was performed in 71 patients, with only 3 (4.2%) deaths. The overall mortality was 8.4% (8 of 95), with all deaths due to neurological causes. Our data suggest that the overall management and surgical results of treatment of ruptured aneurysms in young adults are excellent, diabetes is rare among young adults with SAH, recent alcohol consumption does not seem to be a major factor predisposing to SAH in young adults, and misinterpretation of the early symptoms of SAH continues to be a serious problem.
J Biller; G J Toffol; N F Kassell; H P Adams; D W Beck; D J Boarini
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Neurosurgery     Volume:  21     ISSN:  0148-396X     ISO Abbreviation:  Neurosurgery     Publication Date:  1987 Nov 
Date Detail:
Created Date:  1988-02-04     Completed Date:  1988-02-04     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7802914     Medline TA:  Neurosurgery     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  664-7     Citation Subset:  IM    
Department of Neurology, University of Iowa Hospitals and Clinics, Iowa City.
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MeSH Terms
Brain Edema / complications
Cerebral Angiography
Cerebral Infarction / complications
Intracranial Aneurysm / complications
Intracranial Arteriovenous Malformations / complications
Middle Aged
Subarachnoid Hemorrhage / etiology*,  surgery
Tomography, X-Ray Computed

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