Retrospective 6 month-outcomes and prognostic factors following spontaneous angiogram-negative non-perimesencephalic subarachnoid hemorrhage
Retrospective 6 month-outcomes and prognostic factors following spontaneous angiogram-negative non-perimesencephalic subarachnoid hemorrhage
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DOI：
10.1016/j.jocn.2021.12.017
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发表时间：
2022-02-01
影响因子：
2
通讯作者：
Kang, Dong-Hun
中科院分区：
文献类型：
--
作者：
Kim, Myungsoo;Kim, Byoung-Joon;Kang, Dong-Hun
我们的目的是分析血管造影阴性的非脑周围蛛网膜下腔出血（non-PMH）患者的功能结局和预后因素。本研究共回顾了2009年1月至2019年12月入院的1601例自发性SAH患者。分析其中血管造影阴性的非脑周蛛网膜下腔出血51例。我们根据出血类型和持续时间将患者分组。预后因素根据初始神经系统分级、早期脑积水、fisher分级和出血持续时间进行评估。6个月后根据改良Rankin量表评估结果。总体而言，41例（80.3%）血管造影阴性的非pmh患者获得了良好的结果。在单因素分析中，良好的初始神经系统评分，无早期脑积水，非fisher - 3型出血，短期出血（洗血）
Our objective was to analyze functional outcomes and prognostic factors in patients suffering from angiogram-negative non-perimesencephalic subarachnoid hemorrhage (non-PMH). In total, 1601 patients presenting with spontaneous SAH between January 2009 to December 2019 admitted to our institution were reviewed. Among them, 51 patients with angiogram negative non-perimesencephalic subarachnoid hemorrhage were analyzed. We divided patients into groups according to hemorrhage pattern and duration. Prognostic factors were assessed according to initial neurologic grade, early hydrocephalus, fisher grade, and duration of hemorrhage. Outcomes were assessed according to the modified Rankin Scale after 6 months. Overall, 41 patients (80.3%) with angiogram-negative non-PMH achieved a favorable outcome. In univariate analysis, good initial neurologic grade, absence of early hydrocephalus, non-Fisher-type 3 bleeding pattern, and short term hemorrhage (blood wash out