scholarly journals Spontaneous Nonaneurysmal Subarachnoid Hemorrhage: Review of 75 Cases

2005 ◽  
Vol 2 (1) ◽  
pp. 59-66
Author(s):  
Mohan R. Sharma ◽  
Gerald A. Grant ◽  
Heather A. Nicoletto ◽  
Colleen M. Douville ◽  
David W. Newell

The primary objective of this study was to describe the clinical, radiological, and transcranial Doppler (TCD) ultrasonography characteristics of patients with spontaneous, nonaneurysmal subarachnoid hemorrhage (SNSAH), and analyze their short- term outcome at discharge. The secondary objective was to determine their risk factors for the development of vasospasm.Seventy-five patients with SNSAH were analyzed in terms of clinical, radiological, and TCD parameters, as well as Glasgow Outcome Scale (GOS) at discharge. The patients were then divided into two groups based on whether or not they developed vasospasm by TCD ultrasonography. Twenty of 75 patients (26.7%) had vasospasm by TCD criteria. Age, sex, cigarette smoking, hypertension, clinical Hunt and Hess and World Federation of Neurological Surgeons (WFNS) grading, Fisher’s grade on computerized tomography (CT) scan, or discharge GOS score did not correlate with the development of vasospasm. Hydrocephalus, identified in 11 (14.7%) patients upon admission, was significantly more common in patients with vasospasm (p< 0.0001). Patients with vasospasm stayed in the hospital significantly longer than those without vasospasm (P<0.001).  Vasospasm in SNSAH is more prevalent than previously thought. There is no statistical correlation between the incidence of vasospasm in patients with SNSAH and age, sex, smoking, hypertension, and different admission clinical and Fisher’s grades. However, the presence of hydrocephalus at admission correlated significantly with the development of vasospasm. Despite the high incidence of vasospasm, there is no difference in short-term clinical outcome at discharge between the patients with and without vasospasm. Nepal Journal of Neuroscience, Volume 2, Number 1, 2005, page: 59-66

2013 ◽  
Vol 30 (3) ◽  
pp. 247-254 ◽  
Author(s):  
Amy Z. Crepeau ◽  
John F. Kerrigan ◽  
Paula Gerber ◽  
Gunjan Parikh ◽  
Heidi Jahnke ◽  
...  

2019 ◽  
Vol 32 (02) ◽  
pp. 158-164 ◽  
Author(s):  
Deborah Rohner ◽  
Michael Kowaleski ◽  
Günter Schwarz ◽  
Franck Forterre

Objectives The purpose of this study was to assess the short-term outcome of a new intervertebral anchored fusion device (C-LOX) for the treatment of disc associated cervical spondylomyelopathy (DA-CSM) in dogs, based on clinical and radiographical follow-up data. Materials and Methods To be included in the study, dogs had to be clinically affected by DA-CSM treated with surgical distraction/stabilization using the anchored intervertebral spacer (C-LOX). Neurological signs, as well as diagnostic imaging performed pre-, immediately postoperatively, and after 6 weeks and 3 months were assessed. If available, clinical follow-up after 3 months was documented. Results Thirty-seven cases were enrolled in the study. Outcome at 3 months was available in 25 dogs; improvement of neurological status was documented in 25/25 cases.The most common postoperative complication was screw loosening and/or breakage (n = 22), followed by subsidence (n = 15). Four dogs required revision surgery. Clinical Significance Distraction/stabilization of DA-CSM in dogs with the C-LOX device resulted in short-term clinical improvement in 33/37 treated cases. The high incidence of screw loosening was taken into consideration and modification of the implant with a new locking system and new screw dimensions was required. The C-LOX device seems to be a valuable alternative to more complicated distraction–fusion techniques.


2014 ◽  
Vol 21 (3) ◽  
pp. 505-513 ◽  
Author(s):  
Elana Hochstadter ◽  
Tanya Charyk Stewart ◽  
Ibrahim M. Alharfi ◽  
Adrianna Ranger ◽  
Douglas D. Fraser

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