TY - JOUR
T1 - The proposal of subgroups for grade V on World Federation of Neurologic Surgeons Grading for subarachnoid hemorrhage
AU - Nakagawa, M.
AU - Sugiu, K.
AU - Tokunaga, K.
AU - Sakamoto, C.
AU - Fujiwara, K.
PY - 2013/12
Y1 - 2013/12
N2 - Aim. Some of cases suffering from subarachnoid hemorrhages (SAHs) in grade V on World Federation of Neurologic Surgeons (WFNS) grading can gain a good prognosis. The outcome of patients of SAH in grade V on WFNS grading in their institute was here investigated. Methods. Between April 2007 and July 2012, consecutive 37 patients had SAH diagnosed on CT scan and were classified in grade V on WFNS grading in Kosei General Hospital. There were seventeen male and twenty female patients. We were assigned to patients with spontaneous respiration and without oculomotor palsy (N group, N.=11), and patients with oculomotor palsy (O group, N.=26). Patients were evaluated by mRS. Results. The prognosis in N group was significantly better than in O group (P<0.001). Conclusion. Surgical treatments should be considered for SAH patients without oculomotor palsy. It is necessary to make subgroups in grade V on WFNS grading in order to decide operative indication and evaluate the treatment results of SAH in grade V.
AB - Aim. Some of cases suffering from subarachnoid hemorrhages (SAHs) in grade V on World Federation of Neurologic Surgeons (WFNS) grading can gain a good prognosis. The outcome of patients of SAH in grade V on WFNS grading in their institute was here investigated. Methods. Between April 2007 and July 2012, consecutive 37 patients had SAH diagnosed on CT scan and were classified in grade V on WFNS grading in Kosei General Hospital. There were seventeen male and twenty female patients. We were assigned to patients with spontaneous respiration and without oculomotor palsy (N group, N.=11), and patients with oculomotor palsy (O group, N.=26). Patients were evaluated by mRS. Results. The prognosis in N group was significantly better than in O group (P<0.001). Conclusion. Surgical treatments should be considered for SAH patients without oculomotor palsy. It is necessary to make subgroups in grade V on WFNS grading in order to decide operative indication and evaluate the treatment results of SAH in grade V.
KW - Aneurysm
KW - Subarachnoid hemorrhage
KW - Surgical procedures, operative
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M3 - Article
C2 - 24091433
AN - SCOPUS:84888791052
SN - 0390-5616
VL - 57
SP - 303
EP - 306
JO - Journal of Neurosurgical Sciences
JF - Journal of Neurosurgical Sciences
IS - 4
ER -