| Comparison of Treatment and Outcome about Aneurysmal Subarachnoid Hemorrhage Patients Over 75 Years of Age in the Past 10 Years and Recently |
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Yu Seok Lim , Seok Keun Choi , Min Ki Kim , Young Jin Lim |
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Department of Neurosurgery, Kyung-Hee University College of Medicine, Seoul, Korea |
| 75세 이상의 동맥류 파열에 의한 지주막하 출혈 환자들의 예전과 최근 10년 사이의 치료 및 결과의 비교 |
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임유석ㆍ최석근ㆍ김민기ㆍ임영진 |
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경희대학교 의과대학 신경외과학교실 |
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| Abstract |
Objective
Elderly population is increasing around the globe, and it is expected to increase more and more in the future. Subarachnoid
hemorrhage has many various risk factors, and ‘advanced age’ has the highest ratio among the factors. We retrospectively analyzed clinical
feature and treatment outcome of elderly patients more than 75 years of age in comparison to the past 10 years and recently.
Methods
We retrospectively reviewed the medical record about elderly patients (over 75 years) who were hospitalized and treated for
intracranial aneurysmal subarachnoid hemorrhage in Kyung-Hee Medical Center between 2001 and 2002, 2011 and 2012. Age, medical history,
gender, Hunt-Hess grade, Fisher grade, Glasgow outcome scale of patients were included in analysis.
Results
There were 12 patients who had subarachnoid hemorrhage between 2001 and 2002. Two of them had coil embolization, other five
patients had microsurgical clipping. And 15 patients presented SAH between 2011 and 2012, four of them had coil embolization, other eight
patients had microsurgical clipping. The mean age of the patients was 79.6±5.42 years between 2000 and 2002, and 81.6±4.97 years between
2011 and 2012. The number of good clinical outcomes (defined as Glasgow outcome scale of 4-5) 3 month after the SAH was three (25.1%)
between 2001 and 2002, six (40%) between 2011 and 2012.
Conclusion
In this study, there was not statistically significant treatment in the past 10 years and recently. But endovascular coiling was
increased compared to the past because of less invasive procedure than surgical clipping and elderly patients have an opportunity for
good clinical outcome. |
| Key Words:
Subarachnoid hemorrhageㆍElderly patientsㆍCoil embolization |
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