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10.5214/ans.0972.7531.220205

http://scihub22266oqcxt.onion/10.5214/ans.0972.7531.220205
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C4480251!4480251!26130911
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suck abstract from ncbi


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pmid26130911      Ann+Neurosci 2015 ; 22 (2): 78-80
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  • The outcome after aneurysmal sub arachnoid hemorrhage: a study of various factors #MMPMID26130911
  • Tewari M; Aggarwal A; Mathuriya S; Gupta V
  • Ann Neurosci 2015[Apr]; 22 (2): 78-80 PMID26130911show ga
  • Background: Aneurysmal subarachnoid hemorrhage (A-SAH), despite improvement in surgical and medical treatments, is still a serious disease with high fatality and morbidity rates. Despite the huge advances in neurosurgical management of the disease, there has not been a proportional improvement in outcome of this condition. Purpose: We studied various factors which can influence the final outcome and these included: World federation of neurosurgical societies (WFNS), Hunt & Hess (H&H) and Fisher grade, size of aneurysm, intra operative rupture (IOR), temporary clipping (TC) ? and correlate their individual impact in final outcome. Methods: We studied 100 patients of aneurysmal subarachnoid hemorrhage prospectively all of whom were operated upon .Post operative course was followed and final outcome studied. Results: Pre operatively, higher WFNS and H&H grades had a worse outcome. This correlation was not found for Fisher grade. Nonetheless, presence of IVH(Fisher grade 4) acted as an independent risk factor for poor outcome. Conclusion: Diabetes and smoking led to a worse outcome in contrast to hypertension . IOR led to poor outcome while temporary clipping did not.
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