Risk factors for cerebral edema following aneurysm clipping in patients with aneurysmal subarachnoid hemorrhage.

IF 1.2 4区医学 Q4 CLINICAL NEUROLOGY

Neurosciences Pub Date : 2024-05-01 DOI:10.17712/nsj.2024.2.20230082

Shifeng Xu, Baodong Chen, Hui Qi, Hongbin Liu

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引用次数: 0

Abstract

Objectives: To investigate the factors that contribute to the development of cerebral edema after aneurysm clipping in individuals with aneurysmal subarachnoid hemorrhage (aSAH).

Methods: A total of 232 patients with aSAH caused by rupture and treated with aneurysm clipping were included in the retrospective analysis of clinical data. Postoperatively, the participants were categorized into two groups based on the presence or absence of cerebral edema: a complication group (n=33) and a non-complication group (n=199).A comparison was made between the overall data of the 2 groups.

Results: In the complication group, there were higher proportions of patients experiencing recurrent bleeding, aneurysm in the posterior circulation, Fisher grade III-IV, World Federation of Neurosurgical Societies (WFNS) grade II, Hunt-Hess grade III-IV, concomitant hypertension, duration from onset to operation ≥12 h, and concomitant hematoma compared to the non-complication group (p<0.05). Cerebral edema after aneurysm clipping was associated with several risk factors including repeated bleeding, aneurysm in the back of the brain, Fisher grade III-IV, WFNS grade II, Hunt-Hess grade III-IV, simultaneous high blood pressure and hematoma, and a duration of at least 12 hours from the start of symptoms to the surgical procedure (p<0.05).

Conclusion: In patients with aSAH, the risk of cerebral edema after aneurysm clipping is increased by recurrent bleeding, aneurysm in the posterior circulation, Fisher grade III-IV, WFNS grade II, Hunt-Hess grade III-IV, concomitant hypertension and hematoma, and duration of ≥12 h from onset to operation.

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动脉瘤性蛛网膜下腔出血患者动脉瘤夹闭术后出现脑水肿的风险因素。

目的研究动脉瘤性蛛网膜下腔出血（aSAH）患者在动脉瘤夹闭术后发生脑水肿的因素：方法：共有 232 名因动脉瘤破裂导致蛛网膜下腔出血并接受动脉瘤夹闭术治疗的患者被纳入临床数据回顾性分析。术后，根据有无脑水肿将参与者分为两组：并发症组（33 人）和非并发症组（199 人）：结果：与非并发症组相比，并发症组中反复出血、后循环动脉瘤、Fisher III-IV级、世界神经外科学会联合会（WFNS）II级、Hunt-Hess III-IV级、并发高血压、从发病到手术时间≥12小时、并发血肿的患者比例更高（PP结论：动脉瘤夹闭术后脑水肿风险增加的因素包括：反复出血、动脉瘤位于后循环、Fisher III-IV级、WFNS II级、Hunt-Hess III-IV级、合并高血压和血肿、从发病到手术时间≥12小时。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Neurosciences 医学-临床神经学

CiteScore

1.40

自引率

0.00%

发文量

审稿时长

4.5 months

期刊介绍： Neurosciences is an open access, peer-reviewed, quarterly publication. Authors are invited to submit for publication articles reporting original work related to the nervous system, e.g., neurology, neurophysiology, neuroradiology, neurosurgery, neurorehabilitation, neurooncology, neuropsychiatry, and neurogenetics, etc. Basic research withclear clinical implications will also be considered. Review articles of current interest and high standard are welcomed for consideration. Prospective workshould not be backdated. There are also sections for Case Reports, Brief Communication, Correspondence, and medical news items. To promote continuous education, training, and learning, we include Clinical Images and MCQ’s. Highlights of international and regional meetings of interest, and specialized supplements will also be considered. All submissions must conform to the Uniform Requirements.