重症くも膜下出血患者に対する治療選択と治療成績 : 「破裂脳動脈瘤治療についての前向き集計」短期成績より(<特集>脳動脈瘤の前向き調査)  [in Japanese] Selection of Surgical Treatment and Short-term Outcome of Patients with Severe Subarachnoid Hemorrhage : Prospective Analysis of Treatment of Ruptured Intracranial Aneurysms(<Topic>Prospective Analysis of Treatment of Intracranial Aneurysms)  [in Japanese]

We evaluated the selection of surgical treatment and short-term outcome in severe subarachnoid hemorrhage (SAH) patients enrolled in a prospective analysis of treatment of ruptured intracranial aneurysms. Among 84 SAH patients with WFNS Grade 5 at pre-treatment, 51 were treated by surgical clipping and the remaining 33 were treated by endovascular coiling. In the patients treated by clipping, a favorable outcome of GOS GR or MD was obtained in 28% of the patients 2 months after surgery. On the other hand, in the patients treated by coiling, favorable outcomes were obtained in 37% of the patients. Outcome in patients of Fisher Group 4 and of advanced age of 70 years and over was not favorable.