NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG CỦA TRÀN DỊCH NÃO CẤP TRONG CHẢY MÁU DƯỚI NHỆN

Abstract

Back ground: Acute hydrocephalus is one of the dangerous complications of subarachnoid hemorrhage. Vietnam as well as the world has not had many in-depth studies on acute hydrocephalus after subarachnoid hemorrhage. Objective: Reseach clinical symtomes of acute hydrocephalus after subarachnoid hemorrhage. Subjectives and method: 61 patients with subarachnoid hemorrhage with complications of acute hydrocephalus were treated at the Neurological Center, Bach Mai Hospital. Descriptive study horizontal, rescue. Result: Male 55.7%. Age: under 50 years old (24.5%), 50-59 (36.1%), over 59 years old (39.4%). History: Hypertension 31%. Hospitalization time: Day 1 21.3%, day 2-3: 50.8%, day 4-7: 27.9%. Onset symptoms: All have headache, neck pain, Kernig; vomiting and nausea 82%; 59% hypertension. Full episode: Headache 96.7%, nausea and vomiting 91.8%, constipation 37.7%, neck stiffness 100%, Kernig 100%, disorders of consciousness 36.1%, round muscle disorder 62.3%, Focal neurologic deficits 67.2%, seizures 3.3%. Conclusion: The disease tends to increase with age. Common clinical symptoms are manifestations of raised intracranial pressure syndrome and meningeal syndrome. Focal neurologic deficits accounted for a high rate of 67%. Consciousness disorder accounted for 36.1% but was an indicator of acute hydrocephalus: appeared more on day 2 to day 6. Most of these cases had severe ventricular dilation.