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Colegio de Medicina Interna de México.

2010, Number 3

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Med Int Mex 2010; 26 (3)

Subarachnoid hemorrhage at Continuous Admission Service of National Medical Center Siglo XXI

Huerta MLF, Wilkins GA, Silva RR, Than GMT

Language: Spanish
References: 27
Page: 237-242
PDF size: 151.75 Kb.


ABSTRACT

Background: The subarachnoid hemorrhage is an entity with a high morbidity and mortality. The diagnosis requires the clinical suspicion. The most frequent complications are electrolytic and electrocardiographic alterations. The definitive diagnosis is performed with complementary studies: computed tomography, magnetic resonance or cerebral arteriography. It must be evaluated in whom is indicated surgical intervention like in large intracerebral haematoma, cerebral aneurysm artery, arteriovenous malformation or acute hydrocephalus.
Objective: We describe the clinical findings, diagnostic imaging and outcomes in patients with subarachnoid hemorrhage evaluated at the Emergency Room, CMN Siglo XXI during a 6 months period.
Material and method: Descriptive, observational and transversal study 43 patients, it was made a prospective,. It was studied the next variables: age, sex, laboratory results, Hunt y Hess and Fisher classification, as well as panangiography study. We used a SPSS V 10.
Results: Study in 43 patients, middle age 62 years, 41.8%. Females were the most frequent, 60.5%. The electrolytic alterations were: hipocalemia 39.5%, hiponatremia 23.3%. Normal sinusal rhythm was the most frequent, 60.4%. On the Hunt and Hess Scale, the second grade was the most frequent 62.8%, 15 points on the Glasgow Scale corresponded to 58.1%. 18 patients (41.8%) were IV Grade on the Fisher Scale. The panangiography was realized to 33 patients, it was fined that 70% had cerebral aneurysm, 39% of them at the anterior circulation. The aneurysm clipaje was performed on 46.5%, ventriculoperitoneal derivation was performed to 72.7%. The mortality was 4.6%.


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