Factors Associated with Ventricular Dilatation after Spontaneous Subarachnoid Hemorrhage

J Korean Neurol Assoc > Volume 8(1); 1990 > Article

Journal of the Korean Neurological Association 1990;8(1): 21-28.

자발성 지주막하 출혈후 뇌실확장에 관련된 요인

김동권, 신동진,김희태,정경천

한양대학교 신경과.

Factors Associated with Ventricular Dilatation after Spontaneous Subarachnoid Hemorrhage

Dong Kwon Kim, M.D., Dong Jin Shin, M.D., Hee Tae Kim, M.D., Kyung Chun Chung, M.D.

Department of Neurology, College of Medicine , Hanyang University

Abstract

Acute ventricular dilatation is an important complication of spontaneous subarachnoid hemorrage(SAH). We studied several factors possibly related to ventricular dilatation following SAH in 110patient. We concluded the followings 1) The incidence of ventricular dilatation was increased as the clinical status on ad mission was aggravated. 2) The incldence of ventricular dilatation was increased with associated IVH or ICH and IVH 3) Cerebral angiography(95 cases) revealed the anterior communicating artery(ACOM) to be the most common site of aneurysm in 39 cases(46.2 %) and in the cases with ventricular dilatation ACOM was also the most common site of aneurysm in l8 cases. 4) The incidence of ventricular dilatation was high in the cases with the history of hypertension, and more high blood pressure on admission, especially the systolic blood pressure, there were more cases of ventricular dilatation. 5) There were more cases of ventricular dilatation in the hyponatremia. 6) The mortality of the 110 patients of SAH was 22.7%(25 cases), and in the group of ventricular dilatation the mortality was 34.1%.