Journal Information
Vol. 5. Issue 2.
Pages 98-106 (January 1994)
Share
Share
Download PDF
More article options
Vol. 5. Issue 2.
Pages 98-106 (January 1994)
Evolución en el tratamiento y resultados en la hemorragia subaracnoidea en un servicio de neurocirugía
Visits
1803
J.M. Castilla, R. González-Rodrigálvarez, E. González, S. Sánchez-Alarcos, A. Zafra, J.M. Borrás, R. Carrillo
Servicio de Neurocirugía. Hospital General «Gregorio Marafión». Madrid
This item has received
Article information
Resumen

Hemos revisado 170 pacientes con hemorragia subaracnoidea (HSA) de causa no traumática atendidos en nuestro Servicio.

Setenta y dos de ellos ingresaron entre 1989 y 1991 (Grupo A) y 98 lo hicieron entre 1969 y 1979 (Grupo B). En 123 casos se confirmó la existencia de aneurisma (46 y 77 en los grupos A y B respectivamente) y 103 pacientes fueron intervenidos. En el Grupo A se usó nimodipina en 44 casos. Se ha comparado la aparición de resangrado, isquemia, hidrocefalia y exitus en ambos grupos y, dentro del Grupo A, entre los tratados y no tratados con nimodipina, obteniendo los siguientes resultados: En el Grupo A, en los 44 pacientes que recibieron nimodipina se observaron seis resangrados, 7 isquemias y 3 exitus. En los no tratados se registraron 2 resangrados, 1 isquemia, 4 hidrocefalias y 11 exitus. En los 98 pacientes del Grupo B se registraron 12 resangrados, 17 isquemias, 5 hidrocefalias y 28 exitus.

Los resultados han mejorado pese a seguir usando un tratamiento quirúrgico diferido. El papel de la nimodipina no queda suficientemente claro en este estudio.

Summary

A series of 170 patients with primary subarachnoid hemorrhage treated at our Unit is analyzed. 72 patients were received between 1989 and 1991 (Group A), and 98 were admitted between 1969 and 1979 (Group B). Aneurysms were confirmed in 123 cases (46 and 77 for each group), and 103 were operated. Nimodipine was employed in 44 patients belonging to Group A. The presence of rebleeding, ischemia, hydrocephalus and exitus has been compared between both groups, and into patients of Group A, between those treated with nimodipine and those without nimodipine. In patients of Group A treated with nimodipine there were 6 with rebleedings, 7 with brain ischemia, and 3 deaths. In those who did not receive nimodipine we observed 2 patients with rebleeding, 1 with brain ischemia, 4 with hydrocephalus, and 11 deaths. In patients of Group B there were 12 with rebleeding, 17 with brain ischemia, five with hydrocephalus and 28 deaths.

With the passage of time, there has been an improvement in our results in spite of the use of delayed surgery. The role played by nimodipine in preventing cerebral ischemia is not clear enough in our study.

Key Words:
Subarachnoid hemorrhage
Intracranial aneurysms
Nimodipine
Vasospasm
Rebleeding
Hydrocephalus
Palabras Clave:
Hemorragia subaracnoidea
Aneurismas intracraneales
Nimodipina
Vasoespasmo
Resangrado
Hidrocefalia

Article

These are the options to access the full texts of the publication Neurocirugía (English edition)
Member
Member of the Sociedad Española de Neurocirugía

If it is the first time you have accessed you can obtain your credentials by contacting Elsevier Spain in suscripciones@elsevier.com or by calling our Customer Service at902 88 87 40 if you are calling from Spain or at +34 932 418 800 (from 9 to 18h., GMT + 1) if you are calling outside of Spain.

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option ¿I have forgotten my password¿.

Subscriber
Subscriber

If you already have your login data, please click here .

If you have forgotten your password you can you can recover it by clicking here and selecting the option “I have forgotten my password”
Subscribe
Subscribe to

Neurocirugía (English edition)

Purchase
Purchase article

Purchasing article the PDF version will be downloaded

Price 19.34 €

Purchase now
Contact
Phone for subscriptions and reporting of errors
From Monday to Friday from 9 a.m. to 6 p.m. (GMT + 1) except for the months of July and August which will be from 9 a.m. to 3 p.m.
Calls from Spain
932 415 960
Calls from outside Spain
+34 932 415 960
Email
Idiomas
Neurocirugía (English edition)
Article options
Tools
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?