파열된 뇌동맥류 수술후에 따른 뇌수종 치료에 대한 임상적 분석
Treatment of Hydrocephalus Following the Operation of Ruptured Intracrnial Aneurysms
소속 상세정보
정경훈
최종열/박세혁/정봉섭/이규호
KMID : 0359819930220020199
Abstract
Hydrocephalus, which is one of the major complications following intracranial aneurysm operations, can prevent patients from improvement of consciousness, symptoms and signs that can be expected after operation.
Whenever there is no evidence of appreciable improvement after intracranial aneurysm operation, follow-up brain CT scannings will reveal the development of hydrocephalus.
And also radioisotope cisternography and clinical findings could be clarified as Glasgow coma scale (GCS) and Hunt & Hess classification, which will help clinicians making a decision on shunt operation.
Among 183 patients of subarachnoiod hemorrhage admitted, 92 patients were operated on due to intracranial aneurysms. Nine patients (9.8%) of them were underwent shunt operations because of hydrocephalus following intracranial aneurysm operations.
Eight
patients showed improvement of clinical findings and 9 patients have been improved according to GCS score.
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