RELATIONSHIP BETWEEN THE ONSET TIME AND ANESTHETIC INTERVENTIONS WITH GOOD NEUROLOGICAL OUTCOMES IN PATIENTS WITH SUBARACHNOID HEMORRHAGE DUE TO RUPTURED ANEURYSMS CERABRAL VESSEL

Thông Trần Hữu, Chính Lương Quốc

Main Article Content

Abstract

Purpose: Identify the relationship between good neurological outcome and time of disease onset and aneurysm intervention in patients with subarachnoid hemorrhage due to ruptured cerebral aneurysm. Design: Retrospective study. Methods: Study on 200 medical records of subarachnoid hemorrhage due to ruptured aneurysms cerebral vessel patients admitted to the Stroke Center and the Department of Neurosurgery from August 2023 to August 2024. Main findings: Of these patients (mean age 59; 54,5% women). At admission, the anterior cerebral circulation was the most common location of aneurysm, accounting for 81.5%, with headache as the most manifest initial symptom, at 88.5%. Regarding the severity of the disease, 59% of patients were grade I of WFNS. 79% of them achieved good neurological function in 1 month after discharge. Multivariate logistic regression analysis showed that factors associated with good neurological function included grade I WFNS (OR = 4.9, 95% CI: 1.1–22.4; p=0.039) and anterior cerebral circulation aneurysm (OR = 4.6, 95% CI: 1.5–14.0; p=0.007). Patients treated for aneurysms within 24 hours of symptoms onset were more likely to achieve good neurological function in 1 month after discharge. Conclusion and recommendations: Patients with subarachnoid hemorrhage due to ruptured cerebral aneurysms who undergo aneurysm repair within 24 hours of symptom onset have better neurological function after discharge.

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References

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