Edema Resolution and Clinical Assessment in Poor-Grade Subarachnoid Hemorrhage: Useful Indicators to Predict Delayed Cerebral Infarctions?

The level of consciousness and cerebral edema are among the indicators that best define the intensity of early brain injury following aneurysmal subarachnoid hemorrhage (aSAH). Although these indicators are usually altered in patients with a poor neurological status, their usefulness for selecting p...

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Bibliographic Details
Published in:Journal of clinical medicine 2021-01, Vol.10 (2), p.321
Main Authors: Torné, Ramon, Hoyos, Jhon, Llull, Laura, Rodríguez-Hernández, Ana, Muñoz, Guido, Mellado-Artigas, Ricard, Santana, Daniel, Pedrosa, Leire, Di Somma, Alberto, San Roman, Luis, Amaro, Sergio, Enseñat, Joaquim
Format: Article
Language:English
Subjects:
Aneurysms
Catheters
Clinical medicine
Consciousness
Edema
Medical imaging
Medical prognosis
Patients
Variables
Veins & arteries
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Summary:The level of consciousness and cerebral edema are among the indicators that best define the intensity of early brain injury following aneurysmal subarachnoid hemorrhage (aSAH). Although these indicators are usually altered in patients with a poor neurological status, their usefulness for selecting patients at risk of cerebral infarction (CI) is not well established. Furthermore, little is known about the evolution of these indicators during the first week of post-ictal events. Our study focused on describing the association of the longitudinal course of these predictors with CI occurrence in patients with severe aSAH. Out of 265 aSAH patients admitted consecutively to the same institution, 80 patients with initial poor neurological status (WFNS 4-5) were retrospectively identified. After excluding 25 patients with early mortality, a total of 47 patients who underwent early CT (
ISSN:2077-0383
2077-0383
DOI:10.3390/jcm10020321