The Incidence of Aneurysmal Subarachnoid Hemorrhage in Youngdong District, Korea

Lee, Hyoung Soo; Kim, Yong Baek; You, Seung-Hoon; Jang, Yeon Gyu; Rhee, Woo Tack; Lee, Sang Youl

doi:10.3340/jkns.2007.42.4.258

Cited by 10 publications

(3 citation statements)

References 25 publications

(52 reference statements)

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“…18) Overall, favorable outcomes are anticipated in young adults. 10) The Glasgow Outcome Scale (GOS) has been widely used to categorize the outcomes in patients with aneurysmal SAH. Poor GOS score in young adults may indicate a shortened life expectancy, so elucidation of the clinical and perioperative factors associated with poor outcomes in this subgroup of patients is extremely important.…”

Section: Introductionmentioning

confidence: 99%

Prediction of Outcomes in Young Adults With Aneurysmal Subarachnoid Hemorrhage

Chotai

Moon

et al. 2013

Neurol. Med. Chir.(Tokyo)

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Subarachnoid hemorrhage (SAH) is rare in young adults and little is known about aneurysms in this subgroup. The effect of clinical and prognostic factors on the outcome based on the Glasgow Outcome Scale (GOS) scores and the predictors of unfavorable outcomes were analyzed in young adults with aneurysmal SAH. A retrospective review of the clinical parameters, including age, sex, hypertension, smoking status, hyperlipidemia, location of the cerebral aneurysm, size of the aneurysm, multiplicity, perioperative complication such as hydrocephalus, vasospasm, and hematoma, and Hunt and Hess and Fisher grading on presentation, was conducted in 108 young adults (mean age 34.8 years) managed at our institute. The outcome was classified based on GOS grading into unfavorable (GOS scores 1-3) or favorable (GOS scores 4 or 5). The overall mortality rate was 3.7% (4/108 patients). Univariate regression analysis for the outcomes at discharge found that age at the time of presentation, male sex, size of aneurysm, multiple aneurysms, hyperlipidemia, and poor Hunt and Hess and Fischer grades were associated with unfavorable outcome. Multivariate regression analysis found independent effects of sex, multiple aneurysms, size of aneurysm, and Hunt and Hess grade on the outcome at discharge. Size of aneurysm, presence of multiple aneurysms, Hunt and Hess grade, and hypertension were the predictors of outcome at mean 2-year follow up based on multivariate exact regression analysis. The multimodal approach with aggressive medical management, early intervention, and surgical treatment might contribute to favorable long-term outcomes in patients with poor expected outcomes.

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Section: Introductionmentioning

confidence: 99%

Prediction of Outcomes in Young Adults With Aneurysmal Subarachnoid Hemorrhage

Chotai

Moon

et al. 2013

Neurol. Med. Chir.(Tokyo)

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“…However, South Korea is a homogeneous nation. We could not assume that the characteristics of the population (the distribution of underlying disease, the incidence of intracranial cerebral aneurysm, or SAH) of other provinces in South Korea showed remarkable differences compared to the southern area of Gyung-Gi province of South Korea [ 9 , 20 ]. We believe that the results would be similar to ours if we performed a nationwide study on the initial severity of SAH due to cerebral aneurysm rupture.…”

Section: Discussionmentioning

confidence: 99%

Initial severity of aneurysmal subarachnoid hemorrhage (SAH): Trend over time

Sung

Kim

Ban

et al. 2022

J Cerebrovasc Endovasc Neurosurg

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Objective: The trend in the initial severity of aneurysmal subarachnoid hemorrhage (SAH) is unclear. This study aimed to evaluate whether there was an improvement in the initial severity of SAH over time.Methods: From January 1, 2005, to December 31, 2020, we identified patients who visited the emergency department of our institution with SAH due to intracranial aneurysm rupture. We identified the Hunt Hess (HH) grade and modified Fisher grade of each patient from the medical records, and the Mann-Kendal method was used to estimate the trend of each grade system.Results: A total of 547 patients with SAH were identified. The mean age of the patients was 59.3 years (standard deviation (SD), 14.6). The mean aneurysm size was 6.9 mm (SD, 4.6 mm). The most frequent aneurysm location was the anterior communicating artery (28.7%). In the Mann-Kendal estimates for the analysis of the trend, there was no statistically significant grade throughout the HH and modified Fisher grades. Similarly, there was no improvement throughout all grades in the modified Fisher grade over time. Conclusions:The initial severity of SAH due to cerebral aneurysm rupture did not improve over time.

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“…Risk of aneurysm rupture depends on various factors including location and size [12] . Multiple independent epidemiologic studies have found that aneurysms in the ACOM artery distribution are at highest risk for rupture [13][14][15] . Despite their relative prevalence and risk of rupture, there is limited follow-up data on the use of PED -and flow diverters in general -in the treatment of ACOM artery aneurysms.…”

Section: Discussionmentioning

confidence: 99%

Anterior Communicating Artery Aneurysm Treatment with the Pipeline Embolization Device: A Single-Center Experience with Long-Term Follow-Up

et al. 2017

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Introduction: The pipeline embolization device (PED) is increasingly used in the endovascular management of cerebral aneurysms. Longitudinal data regarding safety and benefit of the PED in anterior communicating (ACOM) artery aneurysms are limited and particularly lacking in residual ACOM artery aneurysms. We report the use of the PED in 3 patients with ACOM artery aneurysms who were previously coiled. Methods: Three patients with ACOM artery aneurysms, all previously treated with coiling and with recurrence of the aneurysm neck, were treated with the PED. All obtained follow-up diagnostic cerebral angiograms at either 3 or 6 months. Results: Mean age of patients was 59 years. All patients received cerebral angiograms at a minimum of 3 months after treatment with the PED. Follow-up angiography was performed up to a mean of 10 months at which time point all cases demonstrated complete aneurysm occlusion, without any stenosis in the parent artery. Conclusion: The PED can be safely used for the treatment of ACOM artery aneurysms. Complete aneurysm obliteration can be achieved in cases refractory to endovascular coiling. These findings warrant replication in a larger data set.

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The Incidence of Aneurysmal Subarachnoid Hemorrhage in Youngdong District, Korea

Cited by 10 publications

References 25 publications

Prediction of Outcomes in Young Adults With Aneurysmal Subarachnoid Hemorrhage

Prediction of Outcomes in Young Adults With Aneurysmal Subarachnoid Hemorrhage

Initial severity of aneurysmal subarachnoid hemorrhage (SAH): Trend over time

Anterior Communicating Artery Aneurysm Treatment with the Pipeline Embolization Device: A Single-Center Experience with Long-Term Follow-Up

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