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Rothoerl, Ralf Dirk ; Finkenzeller, Thomas ; Schubert, Thomas ; Woertgen, Chris ; Brawanski, Alexander

High re-bleeding rate in young adults after subarachnoid haemorrhage from giant aneurysms

Rothoerl, Ralf Dirk, Finkenzeller, Thomas, Schubert, Thomas, Woertgen, Chris und Brawanski, Alexander (2006) High re-bleeding rate in young adults after subarachnoid haemorrhage from giant aneurysms. Neurosurgical review 29 (1), S. 21-25.

Veröffentlichungsdatum dieses Volltextes: 05 Aug 2009 13:24
Artikel
DOI zum Zitieren dieses Dokuments: 10.5283/epub.779


Zusammenfassung

Low re-bleeding rates within the first 14 days of aneurysmal subarachnoid haemorrhage are reported in young patients. Furthermore, re-bleeding rate for giant aneurysms does not exceed 20% according to the literature. Our own clinical impression is that the re-bleeding rate seems to be much higher in giant aneurysms than reported, particularly in young patients. The aim of this study was to ...

Low re-bleeding rates within the first 14 days of aneurysmal subarachnoid haemorrhage are reported in young patients. Furthermore, re-bleeding rate for giant aneurysms does not exceed 20% according to the literature. Our own clinical impression is that the re-bleeding rate seems to be much higher in giant aneurysms than reported, particularly in young patients. The aim of this study was to evaluate re-bleeding rate after subarachnoid haemorrhage following rupture of giant aneurysms in a younger population. We reviewed records of 23 patients who were treated in our institution for subarachnoid haemorrhage from giant aneurysms between 1994 and 2003. By definition, the aneurysms were larger than 25 mm in diameter. Five patients were younger than 40 years of age at the time of the aneurysmal subarachnoid haemorrhage. All younger patients (<40 years of age) showed re-bleeding after the first subarachnoid haemorrhage within the first 14 days of the initial event. In four patients (20%) older than 40 years at the time of the haemorrhage re-bleeding could be observed within the first 14 days of subarachnoid haemorrhage. We can confirm the re-bleeding rate of approximately 20% in patients suffering from subarachnoid haemorrhage (SAH) in the group of patients older than 40 years of age. However, younger patients seem to be at much higher risk of re-bleeding from giant aneurysms.



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Details

DokumentenartArtikel
Titel eines Journals oder einer ZeitschriftNeurosurgical review
Verlag:SPRINGER
Ort der Veröffentlichung:NEW YORK
Band:29
Nummer des Zeitschriftenheftes oder des Kapitels:1
Seitenbereich:S. 21-25
DatumJanuar 2006
InstitutionenMedizin > Lehrstuhl für Neurochirurgie
Medizin > Lehrstuhl für Pathologie
Medizin > Lehrstuhl für Röntgendiagnostik
Identifikationsnummer
WertTyp
16220349PubMed-ID
10.1007/s10143-005-0425-2DOI
Stichwörter / KeywordsINTRACRANIAL ANEURYSMS; COOPERATIVE ANEURYSM; re-bleeding rate; SAH; giant aneurysm
Dewey-Dezimal-Klassifikation600 Technik, Medizin, angewandte Wissenschaften > 610 Medizin
StatusVeröffentlicht
BegutachtetJa, diese Version wurde begutachtet
An der Universität Regensburg entstandenJa
Dokumenten-ID779

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