RESUMEN
Eighty patients are reported with ischaemic complications developing during subarachnoideal haemorrhage due to aneurysm rupture. Ischaemic complications developed in 12.82% of cases in the whole group of subarachnoideal haemorrhages caused by aneurysm rupture. The causes of ischaemia were: closure or stenosis of the afferent artery during the operation, arterial spasm, thrombosis at the site of the aneurysm and brain oedema. Ischaemia during intracranial aneurysm rupture caused in most cases pale infarcts. Ischaemic complications of aneurysm rupture had a serious prognosis, nearly half the patients with this complication died.
Asunto(s)
Isquemia Encefálica/etiología , Aneurisma Intracraneal/complicaciones , Adolescente , Adulto , Anciano , Isquemia Encefálica/complicaciones , Infarto Cerebral/etiología , Niño , Humanos , Persona de Mediana Edad , Rotura Espontánea , Hemorragia Subaracnoidea/complicaciones , Hemorragia Subaracnoidea/etiologíaRESUMEN
On the basis of a material of 561 patients with ruptured intracranial aneurysms treated at the Department of Neurosurgery, Institute of Neurology, Medical Academy in Cracow in the years 1971 to 1977 the authors discuss the effectiveness of conservative treatment for prevention of recurrent bleeding from these aneurysms. The whole group of 561 patients were divied into two subgroups: 361 patients (group A) receiving standard antifibrilytic treatment, drugs preventing oedema formation and reducing the arterial blood pressure, and 254 patients (group B) who were not given antifibrinolytic agents and the other pharmacological agents were given to them only sporadivally. Recurrent bleeding developed in 8.86% of cases of group A and 11.02% in group B. The difference was not significant.
Asunto(s)
Aminocaproatos/uso terapéutico , Ácido Aminocaproico/uso terapéutico , Antihipertensivos/uso terapéutico , Edema Encefálico/prevención & control , Aneurisma Intracraneal/complicaciones , Hemorragia Subaracnoidea/tratamiento farmacológico , Adulto , Humanos , Persona de Mediana Edad , Recurrencia , Rotura , Hemorragia Subaracnoidea/etiologíaRESUMEN
In a group of 556 patients with ruptured intracranial aneurysms in 80 (14%) prodromal manifestations were present before haemorrhage. They included most frequently headaches vomiting, disturbances of eye movements and transient disturbances of consciousness. Prodromal symptoms were most frequent in cases of vertebral-basilar aneurysms.