Predictors of cerebral infarction in aneurysmal subarachnoid hemorrhage

Clinical and radiologic predictors of cerebral infarction occurrence and location after aneurysmal subarachnoid hemorrhage have been seldom studied. We evaluated all patients admitted to our hospital with aneurysmal subarachnoid hemorrhage between 1998 and 2000. Cerebral infarction was defined as a...

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Bibliographic Details
Published in:Stroke (1970) 2004-08, Vol.35 (8), p.1862-1866
Main Authors: RABINSTEIN, Alejandro A, FRIEDMAN, Jonathan A, WEIGAND, Stephen D, MCCLELLAND, Robyn L, FULGHAM, Jimmy R, MANNO, Edward M, ATKINSON, John L. D, WIJDICKS, Eelco F. M
Format: Article
Language:English
Subjects:
Adult
Aged
Aged, 80 and over
Biological and medical sciences
Cerebral Angiography
Cerebral Infarction - diagnosis
Cerebral Infarction - etiology
Female
Humans
Male
Medical sciences
Middle Aged
Neurology
Predictive Value of Tests
Sensitivity and Specificity
Subarachnoid Hemorrhage - complications
Tomography, X-Ray Computed
Ultrasonography, Doppler, Transcranial
Vascular diseases and vascular malformations of the nervous system
Vasospasm, Intracranial - complications
Vasospasm, Intracranial - diagnostic imaging
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Summary:Clinical and radiologic predictors of cerebral infarction occurrence and location after aneurysmal subarachnoid hemorrhage have been seldom studied. We evaluated all patients admitted to our hospital with aneurysmal subarachnoid hemorrhage between 1998 and 2000. Cerebral infarction was defined as a new hypodensity located in a vascular distribution on computed tomography (CT) scan. Fifty-seven of 143 patients (40%) developed a cerebral infarction. On univariate analysis, occurrence of cerebral infarction was associated with a worse World Federation of Neurological Surgeons grade (P=0.01), use of ventriculostomy catheter (P=0.01), preoperative vasospasm (P=0.03), surgical clipping (P=0.02), symptomatic vasospasm (P
ISSN:0039-2499
1524-4628
DOI:10.1161/01.STR.0000133132.76983.8e