Repository logo
  • English
  • 中文
Log In
Have you forgotten your password?
  1. Home
  2. College of Medicine / 醫學院
  3. School of Medicine / 醫學系
  4. Hyperacute cerebral aneurysm rerupture during CT angiography: Clinical article
 
  • Details

Hyperacute cerebral aneurysm rerupture during CT angiography: Clinical article

Journal
Journal of Neurosurgery
Journal Volume
116
Journal Issue
6
Pages
1244
Date Issued
2012
Author(s)
FON-YIH TSUANG  
Su I.-C.
JO-YU CHEN  
Lee J.-E.
DAR-MING LAI  
YONG-KWANG TU  
KUO-CHUAN WANG  
DOI
10.3171/2012.2.JNS111175
URI
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84861989352&doi=10.3171%2f2012.2.JNS111175&partnerID=40&md5=81f2c60b52b4352e4b3b98ccbf9e1e8f
https://scholars.lib.ntu.edu.tw/handle/123456789/475944
Abstract
Object. The object of this study was to identify the clinical features and outcomes of a subgroup of patients with aneurysmal subarachnoid hemorrhage (SAH) who had active contrast extravasation from a ruptured aneurysm during initial cerebral CT angiography (CTA). Methods. The authors performed a retrospective study of spontaneous SAH cases involving patients treated at their institute. They identified 9 cases in which active contrast extravasation was evident on the initial CT angiogram. Another 12 similar cases were also identified in a literature review and data was gathered from these cases to evaluate the outcomes. Results. Analysis of all 21 cases revealed that the overall outcomes in cases characterized by active aneurysmal bleeding during CTA were poor. Seventy-six percent of patients had unfavorable results. Patients who showed poor neurological status at presentation died no matter what kind of treatment they received. In contrast, patients who presented with good neurological status initially had a chance of favorable outcome. Among the patients with good initial neurological status, most demonstrated rapid deterioration of their condition during the CTA examination; only those who received immediate and effective decompressive surgery and aneurysm obliteration had good results. Conclusions. Active aneurysmal rebleeding during CTA is an uncommon but devastating event. Though the mortality of this distinct group of patients remains high, a clinical subgroup may benefit from immediate surgery. Patients with good initial neurological status who show rapid neurological deterioration may still have a favorable outcome if they undergo timely and successful decompressive surgery and proper aneurysm obliteration. Patients who present with poor neurological status do badly, and there is no effective treatment for such patients.
SDGs

[SDGs]SDG3

Other Subjects
iopromide; nimodipine; adult; aged; article; brain artery aneurysm rupture; clinical article; clinical feature; computed tomographic angiography; contrast medium extravasation; decompression surgery; female; human; male; neurologic examination; outcome assessment; priority journal; retrospective study; subarachnoid hemorrhage; treatment outcome; Adult; Aged; Aged, 80 and over; Aneurysm, Ruptured; Cerebral Angiography; Contrast Media; Craniotomy; Decompression, Surgical; Disability Evaluation; Extravasation of Diagnostic and Therapeutic Materials; Fatal Outcome; Female; Follow-Up Studies; Humans; Intracranial Aneurysm; Iohexol; Male; Middle Aged; Neurologic Examination; Prognosis; Recurrence; Retrospective Studies; Subarachnoid Hemorrhage; Survival Rate; Tomography, X-Ray Computed; Vasospasm, Intracranial
Type
journal article

臺大位居世界頂尖大學之列,為永久珍藏及向國際展現本校豐碩的研究成果及學術能量,圖書館整合機構典藏(NTUR)與學術庫(AH)不同功能平台,成為臺大學術典藏NTU scholars。期能整合研究能量、促進交流合作、保存學術產出、推廣研究成果。

To permanently archive and promote researcher profiles and scholarly works, Library integrates the services of “NTU Repository” with “Academic Hub” to form NTU Scholars.

總館學科館員 (Main Library)
醫學圖書館學科館員 (Medical Library)
社會科學院辜振甫紀念圖書館學科館員 (Social Sciences Library)

開放取用是從使用者角度提升資訊取用性的社會運動,應用在學術研究上是透過將研究著作公開供使用者自由取閱,以促進學術傳播及因應期刊訂購費用逐年攀升。同時可加速研究發展、提升研究影響力,NTU Scholars即為本校的開放取用典藏(OA Archive)平台。(點選深入了解OA)

  • 請確認所上傳的全文是原創的內容,若該文件包含部分內容的版權非匯入者所有,或由第三方贊助與合作完成,請確認該版權所有者及第三方同意提供此授權。
    Please represent that the submission is your original work, and that you have the right to grant the rights to upload.
  • 若欲上傳已出版的全文電子檔,可使用Open policy finder網站查詢,以確認出版單位之版權政策。
    Please use Open policy finder to find a summary of permissions that are normally given as part of each publisher's copyright transfer agreement.
  • 網站簡介 (Quickstart Guide)
  • 使用手冊 (Instruction Manual)
  • 線上預約服務 (Booking Service)
  • 方案一:臺灣大學計算機中心帳號登入
    (With C&INC Email Account)
  • 方案二:ORCID帳號登入 (With ORCID)
  • 方案一:定期更新ORCID者,以ID匯入 (Search for identifier (ORCID))
  • 方案二:自行建檔 (Default mode Submission)
  • 方案三:學科館員協助匯入 (Email worklist to subject librarians)

Built with DSpace-CRIS software - Extension maintained and optimized by 4Science