dc.contributor.advisorMonsalve Vargas, Enrique 
dc.contributor.advisorRodriguez Rodriguez, Alberto 
dc.creatorSalgado Cardozo, Juan 
dc.creatorHerrera-Díaz, Ana-Catalina 
dc.date.accessioned2013-08-15T17:41:47Z
dc.date.available2013-08-15T17:41:47Z
dc.date.created2013-08-12
dc.date.issued2013-08-15
dc.identifier.urihttp://repository.urosario.edu.co/handle/10336/4627
dc.descriptionObjetivo. Determinar si la cantidad de sangre y su localización es el espacio subaracnoideo, medible con la escala de Fisher en las primeras 24 horas de ocurrido el ictus hemorrágico, es un factor predictor para el desarrollo de hidrocefalia en pacientes con diagnóstico de hemorragia subaracnoidea (HSA) espontánea, vistos en el Hospital Universitario Clínica San Rafael (HUCSR) con seguimiento de 12 meses. Métodos. 251 pacientes fueron incluidos en una cohorte retrospectiva. La asociación entre la escala de Fisher y el desarrollo de hidrocefalia en pacientes con HSA espontánea fue analizada a través de un análisis bivariado y multivariado. Resultados. La edad promedio de los pacientes fue de 55,5 ± 15 años; con predominancia en el sexo femenino 65,7%. La prevalencia de hidrocefalia fue de 27,1% en la cohorte y la etiología de la HSA fue en su mayoría por ruptura de aneurismas de arterias cerebrales; 78,5%. La sobrevida a 12 meses fue de 65,7%. Tanto el grado 4 en la escala de Fisher como Hunt-Hess III se asocian con el desarrollo de hidrocefalia: ORA; 2.93 IC 95%: 1.51-5.65, P <0.001, ORA 2.83 IC 95%: 1.31-6.17 P=0.008 respectivamente. Conclusión. La presencia de sangrado Intraventricular o intraparenquimatoso ( Fisher 4) en las primeras 24 horas, asociado a un deterioro neurológico al ingreso Hunt-Hess III están asociados con el desarrollo de hidrocefalia en los 251 pacientes evaluados con diagnóstico de HSA espontánea; hallazgos consistentes con lo reportado en la literatura mundial.
dc.description.abstractObjective: Determine the amount of blood and its location is the subarachnoid space, measurable with the Fisher scale in the first 24 hours after the hemorrhagic stroke is a predictor for the development of hydrocephalus in patients with subarachnoid hemorrhage (SAH) spontaneous, seen at the academic Hospital, San Rafael Clinic (HUCSR) followed for 12 months. Methods. 251 patients were included in a retrospective cohort. The association between Fisher scale and development of hydrocephalus in patients with spontaneous SAH was analyzed through bivariate and multivariate analysis. Results. The average age of patients was 55.5 ± 15 years, with predominance in females 65.7%. Hydrocephalus prevalence was 27.1% in the cohort and the etiology of HSA was mostly due to rupture of cerebral artery aneurysms, 78.5%. Survival at 12 months was 65.7%. Both the level 4 on the scale of Fisher and Hunt-Hess III are associated with the development of hydrocephalus: ORA; 2.93, 95% CI 1.51-5.65, P <0.001, 2.83 ORA 95% CI 1.31-6.17 P = 0.008 respectively. Conclusion. Intraventricular presence or intracerebral bleeding (Fisher 4) in the first 24 hours, associated with neurological impairment admission Hunt-Hess III are associated with the development of hydrocephalus in 251 patients diagnosed with HSA evaluated spontaneous findings consistent with the reported in the world literature.
dc.format.mimetypeapplication/pdf
dc.language.isospa
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/2.5/co/
dc.sourceinstname:Universidad del Rosario
dc.sourcereponame:Repositorio Institucional EdocUR
dc.subjectHemorragia subaracnoidea espontánea
dc.subjectescala de Fisher
dc.subjecttomografía axial computarizada
dc.subjecthidrocefalia aguda, subaguda y crónica
dc.subjectpunción lumbar seriada
dc.subjectfenestración de lámina terminalis
dc.titleEscala de Fisher como factor predictor de hidrocefalia en hemorragia subaracnoidea espontanea
dc.typebachelorThesis
dc.publisherUniversidad del Rosario
dc.creator.degreeEspecialista en Neurocirugía
dc.publisher.programEspecialización en Neurología
dc.publisher.departmentFacultad de Medicina
dc.subject.keywordspontaneous subarachnoid hemorrhage
dc.subject.keywordFisher scale
dc.subject.keywordcomputed tomography
dc.subject.keywordhydrocephalus acute, subacute and chronic
dc.subject.keywordserial lumbar puncture
dc.subject.keywordfenestration of lamina terminalis
dc.rights.accesRightsinfo:eu-repo/semantics/openAccess
dc.subject.decsESCALA DE FISHER
dc.subject.decsESCALA DE HUNT-HESS
dc.subject.decsHEMORRAGIA SUBARACNOIDEA – DIAGNÓSTICO
dc.subject.decsHIDROCEFALIA
dc.subject.decsNEUROCIRUGÍA - INVESTIGACIONES
dc.type.spaTrabajo de grado
dc.rights.accesoAbierto (Texto completo)
dc.type.hasVersioninfo:eu-repo/semantics/submittedVersion
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dc.rights.ccAtribución-NoComercial-SinDerivadas 2.5 Colombia
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