Study on cases of traumatic subarachnoid hemorrhage

Otsuka, S.; Nakatsu, S.; Sato, S.; Motozaki, T.; Ban, S.; Yamamoto, T.; Fukumitsu, T.; Nakao, S.

Nihon Geka Hokan. Archiv für Japanische Chirurgie 57(1): 84-91

1988


ISSN/ISBN: 0003-9152
PMID: 3421795
Document Number: 324823
Fifty-eight cases presented with traumatic subarachnoid hemorrhage on CT were studied. They were classified into two groups, Group A: twenty-one patients with subarachnoid hemorrhage alone, Group B: thirty-seven patients with subarachnoid hemorrhage and other intracranial lesions. With regard to the level of consciousness on admission, there were more numerous patients with impaired consciousness in Group B. There was no significant difference in the frequency of accompanying skull fracture between Group A and Group B. Brain contusion and associated intracerebral hematoma most frequently accompanied subarachnoid hemorrhage in Group B. With regard to the outcome of these cases, there were many dead cases and the prognosis was poor in Group B. In Group A, there were many cases classified as good recovery and the prognosis was relatively good. In the cases with mild subarachnoid hemorrhage limited to the cortical sulci, interhemispheric fissure and sylvian fissure in Group A, the prognosis was good even if the level of consciousness was poor on admission.

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