Factors affecting the incidence and severity of vasospasm after subarachnoid haemorrhage

dc.authoridAltunrende, Muhittin Emre/0000-0003-3345-5821
dc.authoridHicdonmez, Tufan/0000-0003-4847-8727
dc.authoridSimsek, Osman/0000-0002-8716-5187
dc.authoridHamamcioglu, Mustafa Kemal/0000-0003-1960-8182
dc.authorwosidKILINÇER, Cumhur/C-7969-2014
dc.authorwosidAltunrende, Muhittin Emre/V-6145-2017
dc.authorwosidHicdonmez, Tufan/AGI-0165-2022
dc.authorwosidSimsek, Osman/D-4906-2012
dc.authorwosidHamamcioglu, Mustafa Kemal/A-3520-2019
dc.contributor.authorHamamcioglu, M. K.
dc.contributor.authorKilincer, C.
dc.contributor.authorAltunrende, E.
dc.contributor.authorHicdonmez, T.
dc.contributor.authorSimsek, O.
dc.contributor.authorAkyel, S.
dc.contributor.authorCobanoglu, S.
dc.date.accessioned2024-06-12T10:56:02Z
dc.date.available2024-06-12T10:56:02Z
dc.date.issued2008
dc.departmentTrakya Üniversitesien_US
dc.description9th International Conference on Cerebral Vasospasm -- JUN 27-30, 2006 -- Istanbul, TURKEYen_US
dc.description.abstractCerebral vasospasm remains the leading cause of death and permanent neurological deficit after subarachnoid haemorrhage. We report our clinical experience with a series of 325 patients, in order to identify the factors affecting the incidence aid severity of vasospasm, and to determine its effect on the outcome. Data obtained in all patients with subarachnoid hemorrhage between 1996 and 2005 at the Neurosurgery Department of Trakya University Medical Faculty were reviewed. Patient characteristics, computed tomography and angiography findings, existence of clinical vasospasm, the degree of clinical deterioration, and outcome were analyzed. Sixty-one patients (18.8%) experienced clinical vasospasm. The average beginning day of the clinical vasospasm was 4.8 (+/- 3.2) days (range, 1-15 clays). The clinical decline attributable to vasospasm lasted 12.5 (+/- 6.9) days on average (range, 4-36 days). The mean GCS at the the initial day of vasospasm was 11.3 (+/- 3) points (range, 5-15 points). The worst GCS during the course of vasospasm was 7.2 (+/- 4) points on average (range, 3-14 points). Thirty-seven of 61 patients had permanent motor deficit after vasospasm. Forty patients had infarcted areas on their CT scan. The anterior cerebral artery territory was involved in 31 of them. Twenty-three patients died and 38 patients recovered from vasospasm. The presence of vasospasm was correlated with poor Outcome. We found that the initial loss of consciousness, motor deficit at admission, arterial hypertension, intraventricular blood, and higher Fisher's grade on CT scan correlated with the increased risk of vasospasm.en_US
dc.identifier.endpage386en_US
dc.identifier.isbn978-3-211-75717-8
dc.identifier.issn0065-1419
dc.identifier.scopus2-s2.0-77957575487en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage383en_US
dc.identifier.urihttps://hdl.handle.net/20.500.14551/19653
dc.identifier.volume104en_US
dc.identifier.wosWOS:000256013000080en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherSpringer-Verlag Wienen_US
dc.relation.ispartofCerebral Vasospasm: New Strategies In Research And Treatmenten_US
dc.relation.publicationcategoryKonferans Öğesi - Uluslararası - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectCerebral Aneurysmen_US
dc.subjectCerebral Vasospasmen_US
dc.subjectHyperdynamic Therapyen_US
dc.subjectNeurological Outcomeen_US
dc.subjectSubarachnoid Haemorrhageen_US
dc.subjectCerebral Vasospasmen_US
dc.subjectSymptomatic Vasospasmen_US
dc.subjectRisken_US
dc.titleFactors affecting the incidence and severity of vasospasm after subarachnoid haemorrhageen_US
dc.typeConference Objecten_US

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