Prognostic value of the amount of post-traumatic subarachnoid haemorrhage in a six month follow up period

Paolo Gaetani, Flavio Tancioni, Fulvio Tartara, Livio Carnevale, Gianluigi Brambilla, Tullio Mille, Riccardo Rodriguez Y Baena

Research output: Contribution to journalArticlepeer-review

Abstract

Clinical and radiological patterns from 148 patients with post-traumatic subarachnoid haemorrhage (TSAH) were analysed with specific regard for the amount and distribution of blood in subarachnoid spaces to verify if these variables have any influence on overall outcome. The degree and extent of TSAH were classified according to Fisher's criteria: in 93 patients it was grade 1, in 36 grade 2, in 13 grade 3, and in six grade 4. There was a significant correlation between increasing clinical severity at admission and the amount of subarachnoid bleeding and a direct relation between a favourable outcome and a low Fisher grade. The distribution of subarachnoid blood was not significantly related to clinical condition at admission, whereas the pattern had a significant impact on the outcome. The results of the present study confirm that TSAH is a negative prognostic factor. Whereas the degree of TSAH is mainly related to clinical conditions at admission, the presence of subarachnoid blood clots both in basal cisterns and over the cerebral convexity indicates a poor outcome.

Original languageEnglish
Pages (from-to)635-637
Number of pages3
JournalJournal of Neurology, Neurosurgery and Psychiatry
Volume59
Issue number6
DOIs
Publication statusPublished - 1995

Keywords

  • Degree of subarachnoid haemorrhage
  • Prognostic factors
  • Traumatic subarachnoid haemorrhage

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Psychiatry and Mental health
  • Neuroscience(all)
  • Neuropsychology and Physiological Psychology

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