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The Effectiveness of Lumbar Cerebrospinal Fluid Drainage to Reduce the Cerebral Vasospasm after Surgical Clipping for Aneurysmal Subarachnoid Hemorrhage

Title
The Effectiveness of Lumbar Cerebrospinal Fluid Drainage to Reduce the Cerebral Vasospasm after Surgical Clipping for Aneurysmal Subarachnoid Hemorrhage
Authors
Park, SoojeongYang, NaraeSeo, Euikyo
Ewha Authors
서의교
SCOPUS Author ID
서의교scopus
Issue Date
2015
Journal Title
JOURNAL OF KOREAN NEUROSURGICAL SOCIETY
ISSN
2005-3711JCR Link1598-7876JCR Link
Citation
vol. 57, no. 3, pp. 167 - 173
Keywords
AneurysmSubarachnoid hemorrhageLumbar drainageCerebral vasospasmSurgical clipping
Publisher
KOREAN NEUROSURGICAL SOC
Indexed
SCIE WOS
Abstract
Objective : Removal of blood from subarachnoid space with a lumbar drainage (LD) may decrease development of cerebral vasospasm. We evaluated the effectiveness of a LD for a clinical vasospasm and outcomes after clipping of aneurysmal subarachnoid hemorrhage (SAH). Methods : Between July 2008 and July 2013, 234 patients were included in this study. The LD group consisted of 126 patients, 108 patients in the non LD group. We investigated outcomes as follow : 1) clinical vasospasm, 2) angioplasty, 3) cerebral infarction, 4) Glasgow outcome scale (GOS) score at discharge, 5) GOS score at 6-month follow-up, and 6) mortality. Results : Clinical vasospasm occurred in 19% of the LD group and 42% of the non LD group (p<0.001):Angioplasty was performed in 17% of the LD group and 38% of the non LD group (p=0.001). Cerebral infarctions were detected in 29% and 54% of each group respectively (p<0.001). The proportion of GOS score 5 at 6 month follow-up in the LD group was 69%, and it was 58% in the non LD group (p=0.001). Mortality rate showed 5% and 10% in each group respectively. But, there was no difference in shunt between the two groups. Conclusion : LD after aneurysmal SAH shows marked reduction of clinical vasospasm and need for angioplasty. With this technique we have shown favorable GOS score at 6 month follow-up.
DOI
10.3340/jkns.2015.57.3.167
Appears in Collections:
의학전문대학원 > 의학과 > Journal papers
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