Hypertension in Subarachnoid Hamorrhage: Outcome After Decompressive Craniectomy

 

All patients

Hematoma evacuated

No Hematoma evacuated

Number

22

13

9

Age (median)

43.1

50.6

40.3

Sex (F:M)

14:8

9:4

5:4

WFNS grade

N (%)

1

2 (9)

0

2 (22)

2

1 (5)

1 (8)

0

3

1 (5)

1 (8)

0

4

8 (36)

6 (46)

2 (22)

5

10 (45)

5 (38)

5 (56)

Aneurysm treatment

N (%)

Clip

11 (50)

8 (61.5)

3 (33)

Coil

9 (41)

4 (30.8)

5 (56)

None

2 (9)

1 (7.7)

1 (11)



Table 2 shows the Glasgow Outcome Scale (GOS) for those patients who underwent a DC, including the breakdown by whether the surgery included hematoma evacuation. This demonstrates a wide variability in outcome in the two subgroups in addition to the total patient group. There was no statistical significance in outcome between the two subgroups (p = 0.63). The outcome (GOS 1–3 = poor and 4–5 = good) when measured against the time from ictus to decompression, as seen in Fig. 1 , also did not show a statistical significance (p = 0.762).


Table 2
Outcome following SAH and decompressive craniectomy









































GOS

All patients

Hematoma evacuated

No hematoma evacuated

N (%)

N (%)

N (%)

1

11 (50)

6 (46.2)

5 (56)

2

0

0

0

3

4 (18)

3 (23.1)

1 (11)

4

2 (9)

2 (15.4)

0

5

5 (23)

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Mar 14, 2017 | Posted by in NEUROSURGERY | Comments Off on Hypertension in Subarachnoid Hamorrhage: Outcome After Decompressive Craniectomy

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