A Follow‐up Examination of 138 Cases of Subarachnoid Hemorrhage<sup>1</sup>

Ask‐Upmark, Erik; Ingvar, David H.

doi:10.1111/j.0954-6820.1950.tb10092.x

Cited by 99 publications

(7 citation statements)

References 6 publications

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“…[59–10] The assessed natural history of SAH in a patient states that there is just one chance of good recovery out of five and one chance of getting crippled by the disease, while asthere are three chances out of five to die sooner or later. [11] Even 10-15% die before reaching hospital, and those who survive, often have neurological or cognitive impairment. [1213] The early concept of ‘aneurysms and SAH in India being uncommon, by B. Ramamurthi, has been proved wrong over time, but the real incidence of SAH in India, due to lack of exact epidemiological data, remains questionable.…”

Section: Introductionmentioning

confidence: 99%

Subarachnoid hemorrhage in Kashmir: Causes, risk factors, and outcome

2011

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Context:Kashmir, a snow bound and mountain locked valley, is populated by about 7 million ethnic and non-migratory Kashmiris who have specific dietary and social habits than rest of the world. The neurological disorders are common in Kashmiri population.Aims:To study the prevalence and outcome of spontaneous intracranial subarachnoid hemorrhage (SAH) in Kashmir compared withother parts of the world.Settings and Design:A retrospective and hospital based study from 1982 to 2010 in the single and only Neurosurgical Centre of the State of Jammu and Kashmir.Materials and Methods:A hospital based study, in which, information concerning all Kashmiri patients was collected from the case sheets, patient files, discharge certificates, death certificates, and telephonic conversations with the help of Medical Records Department and Central Admission Register of Sher–i-Kashmir Institute of Medical Sciences, Kashmir India.Statistical Analysis:Analysis of variance and students T-test were used at occasions.Results:Incidence of SAH in Kashmiris is about 13/100,000 persons per year. SAH comprises 31.02% of total strokes and aneurysmal ruptures are cause of 54.35% SAHs. The female suffers 1.78 times more than the male. Total mortality of 36.60% was recorded against a good recovery of 14.99%. The familial SAHs and multiple aneurysms were also common. Intra-operative finding of larger aneurysmal size than recorded on pre-operative computed tomography (CT) angiogram of same patients was noteworthy. In 493 patients of SAH, the angiography revealed 705 aneurysms.Conclusion:Spontaneous intracranial subarachnoid hemorrhage, due to aneurysmal rupture, is common in Kashmir, with worst outcome. Food habits like “salt-tea twice a day”, group-smoking of wet tobacco like “Jejeer”, winter season, female gender, hypertension, and inhalation of “Kangri” smoke are special risk factorsof SAH, in Kashmiris. The plain CT brain and CT angiography are best diagnostic tools. The preventive measures for aneurysmal formation and rupture seems most promising management of future. The detachable endovascular aneurysmal occupying video assisted micro-camera capsules or plugs may be future treatment.

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Section: Introductionmentioning

confidence: 99%

Subarachnoid hemorrhage in Kashmir: Causes, risk factors, and outcome

2011

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“…La HSA se caracteriza por ser una patología con pronóstico sombrío; se estimaba años atrás que el 60 % fallecía, 20 % sobrevivía con alguna secuela, y solo 1 de cada 5 pacientes era un sobreviviente funcional (8). Si bien esas cifras fueron mejorando con el tiempo, al contar con mejores técnicas diagnósticas, mejoría de la visión microscópica, el advenimiento del tratamiento endovascular para casos de resorte quirúrgico difíciles o inaccesibles, y mejoría en la -22-técnica microquirúrgica, sigue siendo una patología desafiante para los neurocirujanos, sobre todo al tener en cuenta que incluso aquellos pacientes con un excelente estado neurológico al alta no siempre logran re integrarse a sus labores previos y ser insertados completamente en la sociedad activa.…”

Section: Discussionunclassified

Alteraciones cognitivas en pacientes operados de aneurismas cerebrales en el Hospital de Clínicas

Moguilner¹,

Frutos²,

Riquelme³

et al. 2020

Medicina Clínica Y Social

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Introducción: la hemorragia subaracnoidea por sí misma puede dar lugar a un daño cerebral, por esto, en pacientes sin complicaciones los trastornos cognitivos pueden estar presentes. Objetivos: analizar las alteraciones neuropsicológicos en los pacientes operados de aneurismas cerebrales y los factores que se asocian a su desarrollo. Metodología: estudio analítico, observacional, ambispectivo, 2013 - 2020, que incluyó pacientes operados de aneurismas cerebrales rotos en el Hospital de Clínicas. La evaluación cognitiva se realizó con el mini examen cognitivo de Lobo. Se consideró alterado cuando la puntuación fue menor a 27. Se analizaron 12 variables asociando las mismas con el tema de estudio. Los datos fueron analizados con Epi-info 7.2. Resultados: La edad mayor a 60 años se asoció al déficit cognitivo de forma significativa, así como también la lateralidad a izquierda, el uso de clipado temporario durante la cirugía, la ruptura del aneurisma en el intraoperatorio, el vasoespasmo y la hidrocefalia. No se asoció significativamente con el desarrollo de un trastorno cognitivo; el sexo, el nivel de escolaridad, la cantidad de sangre cisternal, la localización del aneurisma, el Glasgow de ingreso ni la fase en la cual se realzó la cirugía. Discusión: en general los hallazgos coinciden con la literatura. Llamó la atención que la escala de Fisher en la muestra estudiada no demostró tener una asociación significativa con el trastorno cognitivo, sin embargo, hay datos en la literatura que sostienen que la cantidad de sangre cisternal al ingreso es un fuerte predictor del estado cognitivo del paciente al alta.

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“…While the annual incidence of stroke in the Western population, aged 45-84 years, is about 300-500/100 000 (Sudlow & Warlow 1997) the incidence of SAH is 6-100 000 (Linn et al 1996). Onset is dramatic, with immediate death in about 12-15% of cases (Bonita & Thomson 1985, Schievink et al 1995 and, without treatment, almost all patients will re-bleed and die (Ask-Upmark & Ingvar 1950). The cause of SAH is a rupture of an intracranial aneurysm in 75-80% of the cases (van Gijn & Rinkel 2001).…”

Section: Introductionmentioning

confidence: 99%

“…Onset is dramatic, with immediate death in about 12–15% of cases (Bonita & Thomson 1985, Schievink et al. 1995) and, without treatment, almost all patients will re‐bleed and die (Ask‐Upmark & Ingvar 1950). The cause of SAH is a rupture of an intracranial aneurysm in 75–80% of the cases (van Gijn & Rinkel 2001).…”

Section: Introductionmentioning

confidence: 99%