scholarly journals Comparison between Modified Neuroendoscopy and Craniotomy Evacuation of Spontaneous Intra-Cerebral Hemorrhages: Study of Clinical Outcome and Glasgow Outcome Score

2016 ◽  
Vol 5 (1) ◽  
pp. 86
Author(s):  
Arie Ibrahim
Keyword(s):  
Clinical Outcome ◽  
Glasgow Outcome Score ◽  
Outcome Score

Endovascular Surgery for Proximal Posterior Inferior Cerebellar Artery Aneurysms: An Analysis of Glasgow Outcome Score by Hunt-Hess Grades

Neurosurgery ◽  
2006 ◽  
Vol 58 (4) ◽  
pp. 619-625 ◽  
Author(s):  
Robert A. Mericle ◽  
Adam S. Reig ◽  
Matthew V. Burry ◽  
Eric Eskioglu ◽  
Christopher S. Firment ◽  
...  
Keyword(s):  
Posterior Inferior Cerebellar Artery ◽  
Endovascular Surgery ◽  
Glasgow Outcome Score ◽  
Clinical Grade ◽  
Outcome Score ◽  
Fisher Grade ◽  
Cerebellar Artery ◽  
Pica Aneurysms ◽  
Angiographic Result

Abstract OBJECTIVE: Proximal posterior inferior cerebellar artery (PICA) aneurysms represent a subset of posterior circulation aneurysms that can be routinely treated with either clipping or coiling. The literature contains limited numbers of patients with proximal PICA aneurysms treated with endovascular surgery. We report our experience with endovascular surgery of proximal PICA aneurysms with emphasis on patients with poor Hunt-Hess grades. METHODS: We reviewed 31 consecutive patients with proximal PICA aneurysms who were treated with endovascular surgery. The following data were analyzed: age, sex, size of aneurysm, Hunt-Hess grade at presentation, Fisher grade at presentation, angiographic result after embolization, complications, number of days hospitalized, duration of follow-up, angiographic follow-up results, and Glasgow Outcome Score at follow-up. RESULTS: Excellent angiographic occlusion was achieved in 30 of 31 (97%) patients. Clinical follow-up with Glasgow Outcome Score was performed on every patient an average of 10 months later. Twenty-one of 31 (68%) patients had good outcomes (Glasgow Outcome Score I or II) at follow-up. Of the patients who presented with a favorable clinical grade (Hunt-Hess 0–III), 13 of 15 (87%) had good outcomes at follow-up. Of the patients who presented with a poor clinical grade (Hunt-Hess Grade IV or higher), 8 of 16 (50%) had good outcomes at follow-up. CONCLUSION: This series demonstrates the safety and efficacy of endovascular surgery for proximal PICA aneurysms. Many patients with poor Hunt-Hess grades from ruptured PICA aneurysms ultimately had a good outcome. This could be secondary to early, aggressive treatment of hydrocephalus and the minimally invasive nature of the endovascular approach.

Determine the Outcome of Traumatic Extradural Hematoma and to Compare the Outcome of Small and Large Size Extradural Hematoma

2021 ◽  
Vol 15 (10) ◽  
pp. 3363-3365
Author(s):  
Muhammad Pervez Khan ◽  
Muhammad Anwar
Keyword(s):  
Glasgow Outcome Score ◽  
Extradural Hematoma ◽  
Hematoma Volume ◽  
Common Cause ◽  
Descriptive Case Study ◽  
Large Size ◽  
Outcome Score ◽  
Male Patients

Objective: The aim of this study is to determine the outcome of traumatic extradural hematoma and to compare the outcome of small and large size extradural hematoma. Study Design: Descriptive case study Place and Duration: Study was conducted at the department of Neurosurgery, Saidu Teaching Hospital, Saidu Sharif, Swat for duration of two years from January 2016 to December 2017. Methods: Total one hundred and forty patients of both genders with ages 2-70 years were presented. Patients had traumatic extradural hematoma within duration first 24 hours were included and admitted through the emergency department. Detailed demographics of enrolled cases age, sex, GCS on arrival and cause of injury were recorded after taking informed written consent. CT scan of all the patients was done for diagnosis. Glasgow Outcome Score (GOS) was used for determination of outcomes. SPSS 23.0 version was used to analyze the data. Results: There were 110 (78.6%) male patients and 30 (21.4%) patients were females. Mean age of the patients was 32.78±10.43 years. RTA was the most common cause found in 84 (60%) followed by falling 29 (20.7%) and assault in 27 (19.3%). Small size hematoma volume among 100 (71.4%) cases and large size was in 40 (28.6%) patients. According to Glasgow outcome score, 24 (17.1%) cases had 1-3 score and 116 (82.9%) cases had 4-5 score. Mean GOS was 4.01±1.12. We found successful outcomes among 116 (82.9%) cases in which majority of the patients were from small size extradural hematoma. Conclusion: We concluded in this study that a significant relationship exists between the volume of extradural hematoma and both the clinical and functional outcome. Prognosis becomes increasingly worse with rising extradural hematoma size. Keywords: Traumatic Brain Injury, Extradural Hematoma, Glasgow Outcome Score

The Modified Glasgow Outcome Score for the prediction of outcome in patients after cardiac arrest: a prospective clinical proof of concept study

2012 ◽  
Vol 101 (7) ◽  
pp. 533-543 ◽  
Author(s):  
Obaida R. Rana ◽  
Jörg W. Schröder ◽  
Julia S. Kühnen ◽  
Esra Saygili ◽  
Christopher Gemein ◽  
...  
Keyword(s):  
Cardiac Arrest ◽  
Glasgow Outcome Score ◽  
Proof Of Concept ◽  
Prediction Of Outcome ◽  
Concept Study ◽  
Outcome Score

Depression after Traumatic Brain Injury as a Function of Glasgow Outcome Score

1998 ◽  
Vol 20 (2) ◽  
pp. 270-279 ◽  
Author(s):  
Carol McCleary ◽  
Paul Satz ◽  
David Forney ◽  
Roger Light ◽  
Kenneth Zaucha ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Glasgow Outcome Score ◽  
Outcome Score

scholarly journals A Method for Reducing Misclassification in the Extended Glasgow Outcome Score

2010 ◽  
Vol 27 (5) ◽  
pp. 843-852 ◽  
Author(s):  
Juan Lu ◽  
Anthony Marmarou ◽  
Kate Lapane ◽  
Elizabeth Turf ◽  
Lindsay Wilson
Keyword(s):  
Glasgow Outcome Score ◽  
Outcome Score

scholarly journals Face-to-Face Versus Telephonic Extended Glasgow Outcome Score Testing After Traumatic Brain Injury

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Sebastiaan M. Bossers ◽  
Joukje van der Naalt ◽  
Bram Jacobs ◽  
Lothar A. Schwarte ◽  
Robert Verheul ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Glasgow Outcome Score ◽  
Face To Face ◽  
Outcome Score

scholarly journals Correlation of Glasgow outcome score to Glasgow coma score assessed at admission

2016 ◽  
pp. 1959-1963
Author(s):  
Harsha Kodliwadmath ◽  
Sanjay Koppad ◽  
Mallikarjun Desai ◽  
Suresh Badiger
Keyword(s):  
Glasgow Coma Score ◽  
Glasgow Outcome Score ◽  
Outcome Score

scholarly journals Outcome of Head Injury Patients Undergoing Surgical Management: A Tertiary Level Experience

2012 ◽  
Vol 9 (4) ◽  
pp. 283-285
Author(s):  
A Shrestha ◽  
R M Joshi ◽  
A Thapa ◽  
U P Devkota ◽  
D N Gongal
Keyword(s):  
Head Injury ◽  
Severe Head Injury ◽  
Surgical Intervention ◽  
Head Injuries ◽  
Glasgow Outcome Score ◽  
Injury Mortality ◽  
Outcome Score ◽  
Injury Group ◽  
Neurosurgical Patient ◽  
Severity Of Injury

Background Head injury is the major cause of death in a neurosurgical patient. Objective To find the outcome, and treatment modality affecting the outcome in patients with head injury. Methods Nine hundred eighty seven patients presenting to National Institute of Neurological and Allied Sciences, Kathmandu, with head injury from September 2009 to October 2010 were included in the study. Patients were categorized according to post resuscitation Glasgow Coma Score. Outcome was assessed at discharge using Glasgow Outcome Score and analyzed for any correlation with modality of treatment and severity of injury. Results Among 987 patients with head injury,152 (15.4%) had severe, 126 (12.8%) had moderate and 709 (71.8%) had mild head injuries. Three hundred twelve (31.6%) patients required definitive and supportive surgical intervention. One hundred eighty two required cranial surgical intervention. Overall mortality was 10% (99), 137 patients (13.9%) had unfavorable outcome and 850 (86.1%) had favorable Glasgow Outcome Score of 4 and 5. Mortality was 53.2%, 9.5% and 0.8% in severe, moderate and mild head injury group respectively. Mortality rate was significantly higher (64.6%) in severe head injury group managed conservatively than those in same group treated with supportive and definite surgical intervention (44.8%) (p=0.016). Conclusion Mortality in head injury patients depend upon severity of injury. Mortality in severe head injury group can be reduced by supportive and definite surgical intervention.DOI: http://dx.doi.org/10.3126/kumj.v9i4.6345 Kathmandu Univ Med J 2011;9(4):283-5

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