Loading…
The Prevalence of Cerebrovascular Abnormalities Detected in Various Diagnostic Subgroups of Spontaneous Subarachnoid Hemorrhage in the Modern Era
To determine prevalence of cerebrovascular abnormalities in diagnostic subgroups of spontaneous subarachnoid hemorrhage (SAH) in a regional neurosurgical center in the modern era. Data of 609 consecutive patients with spontaneous SAH in a 3-year period (August 2010 to August 2013) were prospectively...
Saved in:
| Published in: | World neurosurgery 2018-03, Vol.111, p.e355-e361 |
|---|---|
| Main Authors: | , , , , , |
| Format: | Article |
| Language: | English |
| Subjects: | |
| Citations: | Items that this one cites |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| cited_by | |
|---|---|
| cites | cdi_FETCH-LOGICAL-c351t-f1b38284a212cc7ba1ba3cd9892e9aa720d9055332561d59d377f5e6bf2571643 |
| container_end_page | e361 |
| container_issue | |
| container_start_page | e355 |
| container_title | World neurosurgery |
| container_volume | 111 |
| creator | Chong, Ming Y. Martin, Sean C. Phang, Isaac St George, E.J. Suttner, Nigel Teo, Mario K. |
| description | To determine prevalence of cerebrovascular abnormalities in diagnostic subgroups of spontaneous subarachnoid hemorrhage (SAH) in a regional neurosurgical center in the modern era.
Data of 609 consecutive patients with spontaneous SAH in a 3-year period (August 2010 to August 2013) were prospectively collected. Patients were divided into 3 diagnostic subgroups: computed tomography (CT) positive for SAH; CT negative but positive cerebrospinal fluid examination by spectrophotometry for SAH; CT negative for SAH and inconclusive cerebrospinal fluid examination. All patients fit for intervention underwent CT angiography with or without digital subtraction angiography to identify vascular abnormalities for subsequent treatment.
Of 609 patients, 554 were fit for further investigation and consideration of further intervention; 514 patients had confirmed SAH. Mean patient age was 54.0 years; 61.5% of patients were women. Of patients, 390 (75.9%) showed vascular abnormalities on angiography. There were 438 patients (85.2%) with confirmed SAH diagnosed on CT scan (group 1). Vascular abnormalities were detected in 81.1% of patients; 18.9% of patients with positive CT scan had no identifiable cause of SAH. Of patients with confirmed SAH, 76 (14.8%) had negative CT scan but positive lumbar puncture (group 2); 46.1% of patients in this group had vascular abnormalities. Three patients with inconclusive cerebrospinal fluid examination had lesions requiring treatment. Median length of hospital stay in group 1 patients was longer than median length of hospital stay in group 2 patients.
Frequency of vascular abnormalities in spontaneous SAH is lower than the traditionally quoted figure, which has diagnostic and prognostic implications for patient management. |
| doi_str_mv | 10.1016/j.wneu.2017.12.077 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1979962583</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S1878875017321939</els_id><sourcerecordid>1979962583</sourcerecordid><originalsourceid>FETCH-LOGICAL-c351t-f1b38284a212cc7ba1ba3cd9892e9aa720d9055332561d59d377f5e6bf2571643</originalsourceid><addsrcrecordid>eNp9kcFu3CAQhlHVqImSvEAPFcde1jFgjJF6ibZpUylVIiXtFWEY77KyzXawt-pj9I2DtWmO5QKCb34N8xHynpUFK1l9tSt-jzAXvGSqYLwolXpDzlijmlWjav329SzLU3KZ0q7MS7CqUeIdOeWaq6qS1Rn5-7QF-oBwsD2MDmjs6BoQWowHm9zcW6TX7RhxsH2YAiT6GSZwE3gaRvrTYohzvgt2M8Y0BUcf53aDcd6nJelxH8fJjrAw-cGiddsxBk9vYYiIW7uBJWbKLXyPHnCkN2gvyEln-wSXL_s5-fHl5ml9u7q7__ptfX23ckKyadWxVjS8qSxn3DnVWtZa4bxuNAdtreKl16WUQnBZMy-1F0p1Euq241KxuhLn5OMxd4_x1wxpMkNIDvr-2LBhWmldc9mIjPIj6jCmhNCZPYbB4h_DSrPYMDuz2DCLDcO4yTZy0YeX_LkdwL-W_Jt9Bj4dAci_PARAk1xYJPiAecTGx_C__GexoZ2h</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1979962583</pqid></control><display><type>article</type><title>The Prevalence of Cerebrovascular Abnormalities Detected in Various Diagnostic Subgroups of Spontaneous Subarachnoid Hemorrhage in the Modern Era</title><source>ScienceDirect Freedom Collection 2022-2024</source><creator>Chong, Ming Y. ; Martin, Sean C. ; Phang, Isaac ; St George, E.J. ; Suttner, Nigel ; Teo, Mario K.</creator><creatorcontrib>Chong, Ming Y. ; Martin, Sean C. ; Phang, Isaac ; St George, E.J. ; Suttner, Nigel ; Teo, Mario K.</creatorcontrib><description>To determine prevalence of cerebrovascular abnormalities in diagnostic subgroups of spontaneous subarachnoid hemorrhage (SAH) in a regional neurosurgical center in the modern era.
Data of 609 consecutive patients with spontaneous SAH in a 3-year period (August 2010 to August 2013) were prospectively collected. Patients were divided into 3 diagnostic subgroups: computed tomography (CT) positive for SAH; CT negative but positive cerebrospinal fluid examination by spectrophotometry for SAH; CT negative for SAH and inconclusive cerebrospinal fluid examination. All patients fit for intervention underwent CT angiography with or without digital subtraction angiography to identify vascular abnormalities for subsequent treatment.
Of 609 patients, 554 were fit for further investigation and consideration of further intervention; 514 patients had confirmed SAH. Mean patient age was 54.0 years; 61.5% of patients were women. Of patients, 390 (75.9%) showed vascular abnormalities on angiography. There were 438 patients (85.2%) with confirmed SAH diagnosed on CT scan (group 1). Vascular abnormalities were detected in 81.1% of patients; 18.9% of patients with positive CT scan had no identifiable cause of SAH. Of patients with confirmed SAH, 76 (14.8%) had negative CT scan but positive lumbar puncture (group 2); 46.1% of patients in this group had vascular abnormalities. Three patients with inconclusive cerebrospinal fluid examination had lesions requiring treatment. Median length of hospital stay in group 1 patients was longer than median length of hospital stay in group 2 patients.
Frequency of vascular abnormalities in spontaneous SAH is lower than the traditionally quoted figure, which has diagnostic and prognostic implications for patient management.</description><identifier>ISSN: 1878-8750</identifier><identifier>EISSN: 1878-8769</identifier><identifier>DOI: 10.1016/j.wneu.2017.12.077</identifier><identifier>PMID: 29274454</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Aged ; Female ; Humans ; Intracranial Arteriovenous Malformations - complications ; Intracranial Arteriovenous Malformations - diagnostic imaging ; Intracranial Arteriovenous Malformations - epidemiology ; Male ; Middle Aged ; Prevalence ; Prospective Studies ; Subarachnoid hemorrhage ; Subarachnoid Hemorrhage - etiology ; Tomography, X-Ray Computed ; Vascular abnormalities</subject><ispartof>World neurosurgery, 2018-03, Vol.111, p.e355-e361</ispartof><rights>2017 Elsevier Inc.</rights><rights>Copyright © 2017 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c351t-f1b38284a212cc7ba1ba3cd9892e9aa720d9055332561d59d377f5e6bf2571643</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,786,790,27957,27958</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/29274454$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chong, Ming Y.</creatorcontrib><creatorcontrib>Martin, Sean C.</creatorcontrib><creatorcontrib>Phang, Isaac</creatorcontrib><creatorcontrib>St George, E.J.</creatorcontrib><creatorcontrib>Suttner, Nigel</creatorcontrib><creatorcontrib>Teo, Mario K.</creatorcontrib><title>The Prevalence of Cerebrovascular Abnormalities Detected in Various Diagnostic Subgroups of Spontaneous Subarachnoid Hemorrhage in the Modern Era</title><title>World neurosurgery</title><addtitle>World Neurosurg</addtitle><description>To determine prevalence of cerebrovascular abnormalities in diagnostic subgroups of spontaneous subarachnoid hemorrhage (SAH) in a regional neurosurgical center in the modern era.
Data of 609 consecutive patients with spontaneous SAH in a 3-year period (August 2010 to August 2013) were prospectively collected. Patients were divided into 3 diagnostic subgroups: computed tomography (CT) positive for SAH; CT negative but positive cerebrospinal fluid examination by spectrophotometry for SAH; CT negative for SAH and inconclusive cerebrospinal fluid examination. All patients fit for intervention underwent CT angiography with or without digital subtraction angiography to identify vascular abnormalities for subsequent treatment.
Of 609 patients, 554 were fit for further investigation and consideration of further intervention; 514 patients had confirmed SAH. Mean patient age was 54.0 years; 61.5% of patients were women. Of patients, 390 (75.9%) showed vascular abnormalities on angiography. There were 438 patients (85.2%) with confirmed SAH diagnosed on CT scan (group 1). Vascular abnormalities were detected in 81.1% of patients; 18.9% of patients with positive CT scan had no identifiable cause of SAH. Of patients with confirmed SAH, 76 (14.8%) had negative CT scan but positive lumbar puncture (group 2); 46.1% of patients in this group had vascular abnormalities. Three patients with inconclusive cerebrospinal fluid examination had lesions requiring treatment. Median length of hospital stay in group 1 patients was longer than median length of hospital stay in group 2 patients.
Frequency of vascular abnormalities in spontaneous SAH is lower than the traditionally quoted figure, which has diagnostic and prognostic implications for patient management.</description><subject>Adult</subject><subject>Aged</subject><subject>Female</subject><subject>Humans</subject><subject>Intracranial Arteriovenous Malformations - complications</subject><subject>Intracranial Arteriovenous Malformations - diagnostic imaging</subject><subject>Intracranial Arteriovenous Malformations - epidemiology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Prevalence</subject><subject>Prospective Studies</subject><subject>Subarachnoid hemorrhage</subject><subject>Subarachnoid Hemorrhage - etiology</subject><subject>Tomography, X-Ray Computed</subject><subject>Vascular abnormalities</subject><issn>1878-8750</issn><issn>1878-8769</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><recordid>eNp9kcFu3CAQhlHVqImSvEAPFcde1jFgjJF6ibZpUylVIiXtFWEY77KyzXawt-pj9I2DtWmO5QKCb34N8xHynpUFK1l9tSt-jzAXvGSqYLwolXpDzlijmlWjav329SzLU3KZ0q7MS7CqUeIdOeWaq6qS1Rn5-7QF-oBwsD2MDmjs6BoQWowHm9zcW6TX7RhxsH2YAiT6GSZwE3gaRvrTYohzvgt2M8Y0BUcf53aDcd6nJelxH8fJjrAw-cGiddsxBk9vYYiIW7uBJWbKLXyPHnCkN2gvyEln-wSXL_s5-fHl5ml9u7q7__ptfX23ckKyadWxVjS8qSxn3DnVWtZa4bxuNAdtreKl16WUQnBZMy-1F0p1Euq241KxuhLn5OMxd4_x1wxpMkNIDvr-2LBhWmldc9mIjPIj6jCmhNCZPYbB4h_DSrPYMDuz2DCLDcO4yTZy0YeX_LkdwL-W_Jt9Bj4dAci_PARAk1xYJPiAecTGx_C__GexoZ2h</recordid><startdate>201803</startdate><enddate>201803</enddate><creator>Chong, Ming Y.</creator><creator>Martin, Sean C.</creator><creator>Phang, Isaac</creator><creator>St George, E.J.</creator><creator>Suttner, Nigel</creator><creator>Teo, Mario K.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201803</creationdate><title>The Prevalence of Cerebrovascular Abnormalities Detected in Various Diagnostic Subgroups of Spontaneous Subarachnoid Hemorrhage in the Modern Era</title><author>Chong, Ming Y. ; Martin, Sean C. ; Phang, Isaac ; St George, E.J. ; Suttner, Nigel ; Teo, Mario K.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c351t-f1b38284a212cc7ba1ba3cd9892e9aa720d9055332561d59d377f5e6bf2571643</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Female</topic><topic>Humans</topic><topic>Intracranial Arteriovenous Malformations - complications</topic><topic>Intracranial Arteriovenous Malformations - diagnostic imaging</topic><topic>Intracranial Arteriovenous Malformations - epidemiology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Prevalence</topic><topic>Prospective Studies</topic><topic>Subarachnoid hemorrhage</topic><topic>Subarachnoid Hemorrhage - etiology</topic><topic>Tomography, X-Ray Computed</topic><topic>Vascular abnormalities</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chong, Ming Y.</creatorcontrib><creatorcontrib>Martin, Sean C.</creatorcontrib><creatorcontrib>Phang, Isaac</creatorcontrib><creatorcontrib>St George, E.J.</creatorcontrib><creatorcontrib>Suttner, Nigel</creatorcontrib><creatorcontrib>Teo, Mario K.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>World neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Chong, Ming Y.</au><au>Martin, Sean C.</au><au>Phang, Isaac</au><au>St George, E.J.</au><au>Suttner, Nigel</au><au>Teo, Mario K.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Prevalence of Cerebrovascular Abnormalities Detected in Various Diagnostic Subgroups of Spontaneous Subarachnoid Hemorrhage in the Modern Era</atitle><jtitle>World neurosurgery</jtitle><addtitle>World Neurosurg</addtitle><date>2018-03</date><risdate>2018</risdate><volume>111</volume><spage>e355</spage><epage>e361</epage><pages>e355-e361</pages><issn>1878-8750</issn><eissn>1878-8769</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>To determine prevalence of cerebrovascular abnormalities in diagnostic subgroups of spontaneous subarachnoid hemorrhage (SAH) in a regional neurosurgical center in the modern era.
Data of 609 consecutive patients with spontaneous SAH in a 3-year period (August 2010 to August 2013) were prospectively collected. Patients were divided into 3 diagnostic subgroups: computed tomography (CT) positive for SAH; CT negative but positive cerebrospinal fluid examination by spectrophotometry for SAH; CT negative for SAH and inconclusive cerebrospinal fluid examination. All patients fit for intervention underwent CT angiography with or without digital subtraction angiography to identify vascular abnormalities for subsequent treatment.
Of 609 patients, 554 were fit for further investigation and consideration of further intervention; 514 patients had confirmed SAH. Mean patient age was 54.0 years; 61.5% of patients were women. Of patients, 390 (75.9%) showed vascular abnormalities on angiography. There were 438 patients (85.2%) with confirmed SAH diagnosed on CT scan (group 1). Vascular abnormalities were detected in 81.1% of patients; 18.9% of patients with positive CT scan had no identifiable cause of SAH. Of patients with confirmed SAH, 76 (14.8%) had negative CT scan but positive lumbar puncture (group 2); 46.1% of patients in this group had vascular abnormalities. Three patients with inconclusive cerebrospinal fluid examination had lesions requiring treatment. Median length of hospital stay in group 1 patients was longer than median length of hospital stay in group 2 patients.
Frequency of vascular abnormalities in spontaneous SAH is lower than the traditionally quoted figure, which has diagnostic and prognostic implications for patient management.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>29274454</pmid><doi>10.1016/j.wneu.2017.12.077</doi><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1878-8750 |
| ispartof | World neurosurgery, 2018-03, Vol.111, p.e355-e361 |
| issn | 1878-8750 1878-8769 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1979962583 |
| source | ScienceDirect Freedom Collection 2022-2024 |
| subjects | Adult Aged Female Humans Intracranial Arteriovenous Malformations - complications Intracranial Arteriovenous Malformations - diagnostic imaging Intracranial Arteriovenous Malformations - epidemiology Male Middle Aged Prevalence Prospective Studies Subarachnoid hemorrhage Subarachnoid Hemorrhage - etiology Tomography, X-Ray Computed Vascular abnormalities |
| title | The Prevalence of Cerebrovascular Abnormalities Detected in Various Diagnostic Subgroups of Spontaneous Subarachnoid Hemorrhage in the Modern Era |
| url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-09-21T16%3A58%3A32IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20Prevalence%20of%20Cerebrovascular%20Abnormalities%20Detected%20in%20Various%20Diagnostic%20Subgroups%20of%20Spontaneous%20Subarachnoid%20Hemorrhage%20in%20the%20Modern%20Era&rft.jtitle=World%20neurosurgery&rft.au=Chong,%20Ming%20Y.&rft.date=2018-03&rft.volume=111&rft.spage=e355&rft.epage=e361&rft.pages=e355-e361&rft.issn=1878-8750&rft.eissn=1878-8769&rft_id=info:doi/10.1016/j.wneu.2017.12.077&rft_dat=%3Cproquest_cross%3E1979962583%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c351t-f1b38284a212cc7ba1ba3cd9892e9aa720d9055332561d59d377f5e6bf2571643%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1979962583&rft_id=info:pmid/29274454&rfr_iscdi=true |