Systematized
treatment of the
Subaracnoidea
Hemorrhage
NOTE: Translated
using software of
translation of
Spanish to English
ABSTRACT:
Hemorrhages account for 20% to 25% of stroke cases in our population,
Among these patients, subarachnoid hemorrhage accounts for 7% to 10% of
cases, and represent the main cause of stroke-related death. In the
present study we present a model for systematic treatment of this
condition with particular emphasis of early diagnosis and agressive
therapeutic approach. We performed an observational study of 117 patients
with subarachnoid hemorrhage admitted between January 1995 and August 1999
who were managed according to internationally accepted algorithms.
Arterial hypertension and smoking were the most common risk factors. While
angiography of intracranial vessels was performed in every patient, we
could only find saccular aneurysms in 32 patients (27.36%). About 60% of
those patients were operated on, with a mortality of less than 5%.
Mortality was directly related to the clinical status of the patient on
addmision, and aggessive therapy reduced the chance of death.
Author:
Ecuadorian
magazine of neurology
