노령층에 있어서 뇌동맥류 파열 후 뇌혈관 연축 및 만성수두증 발현에 관한 연구-청, 장년층과의 비교
Symptomatic Vasospasm and Chronic Hydrocephalus in Elderly Patients after Intracranial Aneurysm Rupture-Comparison with Younger Ones
대한뇌혈관학회지 2002년 4권 2호 p.159 ~ 163
조맹기, 김영준, 박봉진, 성정남,
소속 상세정보
조맹기 ( Cho Maeng-Ki )
단국대학교 의과대학 신경외과학교실
김영준 ( Kim Young-Joon )
단국대학교 의과대학 신경외과학교실
박봉진 ( Park Bong-Jin )
단국대학교 의과대학 신경외과학교실
성정남 ( Sung Jung-Nam )
단국대학교 의과대학 신경외과학교실
KMID : 0890520020040020159
Abstract
Objective:The purpose of this study is to compare the incidence of shunt-dependent chronic hydrocephalus and symptomatic vasospasm in elderly patients following intracranial aneurysm rupture with those of younger patients.
Methods: We retrospectively reviewed the medical records of 189 patients who were treated with open surgery between May 1994 and December 2000. They were divided into two groups；elderly (≥60 yrs) and younger (≤59 yrs) group. Incidence of shunt-dependent chronic hydrocephalus and symptomatic vasospasm was analysed in each group during 6 months after surgery.
Results: Shunt-dependent chronic hydrocephalus has developed more frequently in the elderly group (27.8%) than in the younger group (7.3%). Incidence of symptomatic vasospasm was not significantly different between two groups, even though poor grade patients were more represented in the elderly group.
Conclusion: Meticulous clinical long-term follow-up is needed to detect shunt-dependent chronic hydrocephalus as early as possble in the elderly patients with operated ruptured intracranial aneurysms and in that case, shunt operation should be undertaken.
키워드
뇌동맥류 파열;노령층;수두증
Intracranial aneurysm rupture;Shunt-dependent chronic hydrocephalus;Symptomatic vasospasm
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