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Escala de Fisher como factor predictor de hidrocefalia en hemorragia subaracnoidea espontanea

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dc.contributor.advisorMonsalve Vargas, Enrique
dc.contributor.advisorRodriguez Rodriguez, Alberto
dc.creatorSalgado Cardozo, Juan
dc.creatorHerrera Díaz, Ana Catalina
dc.creator.degreeEspecialista en Neurocirugía
dc.date.accessioned2013-08-15T17:41:47Z
dc.date.available2013-08-15T17:41:47Z
dc.date.created2013-08-12
dc.date.issued2013
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.spa
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 &lt; 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. eng
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dc.identifier.doihttps://doi.org/10.48713/10336_4627
dc.identifier.urihttp://repository.urosario.edu.co/handle/10336/4627
dc.language.isospa
dc.publisherUniversidad del Rosariospa
dc.publisher.departmentFacultad de Medicinaspa
dc.publisher.programEspecialización en Neurologíaspa
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dc.rights.ccAtribución-NoComercial-SinDerivadas 2.5 Colombiaspa
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dc.source.bibliographicCitationO’Kelly CJ, Kulkarni A V, Austin PC, Urbach D, Wallace MC. Shunt-dependent hydrocephalus after aneurysmal subarachnoid hemorrhage: incidence, predictors, and revision rates. Clinical article. Journal of neurosurgery [Internet]. 2009 Dec [cited 2013 May 31];111(5):1029–35. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19361256
dc.source.bibliographicCitationRhoney DH, McAllen K, Liu-DeRyke X. Current and future treatment considerations in the management of aneurysmal subarachnoid hemorrhage. Journal of pharmacy practice [Internet]. 2010 Oct [cited 2013 May 31];23(5):408–24. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21507846
dc.source.bibliographicCitationManno EM. Subarachnoid hemorrhage. Neurologic clinics [Internet]. 2004 May [cited 2013 May 30];22(2):347–66. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15062516
dc.source.bibliographicCitationJartti P, Karttunen a., Jartti a., Ukkola V, Sajanti J, Pyhtinen J. Factors Related to Acute Hydrocephalus After Subarachnoid Hemorrhage. Acta Radiologica [Internet]. 2004 Jan [cited 2013 May 31];45(3):333–9. Available from: http://acr.sagepub.com/lookup/doi/10.1080/02841850410004274
dc.source.bibliographicCitationWoernle CM, Winkler KML, Burkhardt J-K, Haile SR, Bellut D, Neidert MC, et al. Hydrocephalus in 389 patients with aneurysm-associated subarachnoid hemorrhage. Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia [Internet]. Elsevier Ltd; 2013 May 4 [cited 2013 May 31];2012–4. Available from: http://www.ncbi.nlm.nih.gov/pubmed/23562295
dc.source.bibliographicCitationGermanwala A V, Huang J, Tamargo RJ. Hydrocephalus after aneurysmal subarachnoid hemorrhage. Neurosurgery clinics of North America [Internet]. Elsevier Ltd; 2010 May [cited 2013 May 31];21(2):263–70. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20380968
dc.source.bibliographicCitationGalera R, Greitz T. Hydrocephalus in the adult secondary to the rupture of intracranial arterial aneurysms. Journal of neurosurgery [Internet]. 1970 Jul;32(6):634–41. Available from: http://www.ncbi.nlm.nih.gov/pubmed/5442589
dc.source.bibliographicCitationDorai Z, Hynan LS, Kopitnik T a., Samson D. Factors Related to Hydrocephalus after Aneurysmal Subarachnoid Hemorrhage. Neurosurgery [Internet]. 2003 Apr [cited 2013 May 31];52(4):763–71. Available from: http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:landingpage&an=00006123-200304000-00007
dc.source.bibliographicCitationVan Gijn J, Hijdra a, Wijdicks EF, Vermeulen M, van Crevel H. Acute hydrocephalus after aneurysmal subarachnoid hemorrhage. Journal of neurosurgery [Internet]. 1985 Sep;63(3):355–62. Available from: http://www.ncbi.nlm.nih.gov/pubmed/4020461
dc.source.bibliographicCitationDemirgil BT, Tugcu B, Postalci L, Guclu G, Dalgic a, Oral Z. Factors leading to hydrocephalus after aneurysmal subarachnoid hemorrhage. Minimally invasive neurosurgery : MIN [Internet]. 2003 Dec [cited 2013 May 29];46(6):344–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/14968401
dc.source.bibliographicCitationSheehan JP, Polin RS, Sheehan JM, Baskaya MK, Kassell NF. Factors associated with hydrocephalus after aneurysmal subarachnoid hemorrhage. Neurosurgery [Internet]. 1999 Dec;45(5):1120–7; discussion 1127–8. Available from: http://www.ncbi.nlm.nih.gov/pubmed/10549928
dc.source.bibliographicCitationTomasello F, d’Avella D, de Divitiis O. Does lamina terminalis fenestration reduce the incidence of chronic hydrocephalus after subarachnoid hemorrhage? Neurosurgery [Internet]. 1999 Oct;45(4):827–31; discussion 831–2. Available from: http://www.ncbi.nlm.nih.gov/pubmed/10515477
dc.source.bibliographicCitationEllington E, Margolis G. Block of arachnoid villus by subarachnoid hemorrhage. Journal of neurosurgery [Internet]. 1969 Jul;30(6):651–7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/4306901
dc.source.bibliographicCitationFisher CM, Kistler JP DJ. Relation of cerebral vasospasm to subarachnoid hemorrhage visualized by computerized tomographic scanning. Neurosurgery. 1980;6:1–9
dc.source.bibliographicCitationVan den Berg R, Foumani M, Schröder RD, Peerdeman SM, Horn J, Bipat S, et al. Predictors of outcome in World Federation of Neurologic Surgeons grade V aneurysmal subarachnoid hemorrhage patients. Critical care medicine [Internet]. 2011 Dec [cited 2013 May 31];39(12):2722–7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/21765356
dc.source.bibliographicCitationKusske J a, Turner PT, Ojemann G a, Harris a B. Ventriculostomy for the treatment of acute hydrocephalus following subarachnoid hemorrhage [Internet]. Journal of neurosurgery. 1973. p. 591–5. Available from: http://www.ncbi.nlm.nih.gov/pubmed/4711632
dc.source.bibliographicCitationLu J, Ji N, Yang Z, Zhao X. Prognosis and treatment of acute hydrocephalus following aneurysmal subarachnoid haemorrhage. Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia [Internet]. Elsevier Ltd; 2012 May [cited 2013 May 31];19(5):669–72. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22361252
dc.source.bibliographicCitationMacdonald RL. Lumbar drainage after subarachnoid hemorrhage: does it reduce vasospasm and delayed hydrocephalus? Neurocritical care [Internet]. 2007 Jan [cited 2013 Jun 6];7(1):1–2. Available from: http://www.ncbi.nlm.nih.gov/pubmed/17657651
dc.source.bibliographicCitationHasan D, Lindsay KW, Vermeulen M. Treatment of acute hydrocephalus after subarachnoid hemorrhage with serial lumbar puncture. Stroke [Internet]. 1991 Feb 1 [cited 2013 May 31];22(2):190–4. Available from: http://stroke.ahajournals.org/cgi/doi/10.1161/01.STR.22.2.190
dc.source.bibliographicCitationDehdashti AR, Rilliet B, Rufenacht D a, de Tribolet N. Shunt-dependent hydrocephalus after rupture of intracranial aneurysms: a prospective study of the influence of treatment modality. Journal of neurosurgery [Internet]. 2004 Oct;101(3):402–7. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15352596
dc.source.bibliographicCitationHowick J, Chalmers I, Glasziou P, Greenhalgh T, Heneghan C, Liberati A, et al. Oxford Centre for Evidence-Based Medicine 2011 Levels of Evidence. Oxford Centre for Evidence-Based Medicine. 2011. p. 1
dc.source.bibliographicCitationVale FL, Bradley EL, Fisher WS. The relationship of subarachnoid hemorrhage and the need for postoperative shunting. Journal of neurosurgery [Internet]. 1997 Mar;86(3):462–6. Available from: http://www.ncbi.nlm.nih.gov/pubmed/9046303
dc.source.bibliographicCitationOhwaki K, Yano E, Nakagomi T, Tamura a. Relationship between shunt-dependent hydrocephalus after subarachnoid haemorrhage and duration of cerebrospinal fluid drainage. British journal of neurosurgery [Internet]. 2004 May [cited 2013 May 31];18(2):130–4. Available from: http://www.ncbi.nlm.nih.gov/pubmed/15176553
dc.source.bibliographicCitationWang Y-M, Lin Y-J, Chuang M-J, Lee T-H, Tsai N-W, Cheng B-C, et al. Predictors and outcomes of shunt-dependent hydrocephalus in patients with aneurysmal sub-arachnoid hemorrhage. BMC surgery [Internet]. BMC Surgery; 2012 Jan [cited 2013 May 31];12(1):12. Available from: http://www.pubmedcentral.nih.gov/articlerender.fcgi?artid=3467164&tool=pmcentrez&rendertype=abstract
dc.source.bibliographicCitationRincon F, Gordon E, Starke RM, Buitrago MM, Fernandez A, Schmidt JM, et al. Predictors of long-term shunt-dependent hydrocephalus after aneurysmal subarachnoid hemorrhage. Clinical article. Journal of neurosurgery [Internet]. 2010 Oct [cited 2013 May 31];113(4):774–80. Available from: http://www.ncbi.nlm.nih.gov/pubmed/20367072
dc.source.bibliographicCitationVermeij FH, Hasan D, Vermeulen M, Tanghe HL, van Gijn J. Predictive factors for deterioration from hydrocephalus after subarachnoid hemorrhage. Neurology [Internet]. 1994 Oct;44(10):1851–5. Available from: http://www.ncbi.nlm.nih.gov/pubmed/7936235
dc.source.bibliographicCitationVapalahti M. Chronic shunt-dependent hydrocephalus after early surgical and early endovascular treatment of ruptured intracranial aneurysms. Neurosurgery [Internet]. 1999 Mar;44(3):503–9; discussion 509–12. Available from: http://www.ncbi.nlm.nih.gov/pubmed/10069587
dc.source.bibliographicCitationschmieder K, Koch R, Lucke S HA. Haemorrhage, factors influencig shunt dependency after aneurysmal subarachnoid. 1999;60(3):10726336.
dc.source.bibliographicCitationLai L, Morgan MK. Predictors of in-hospital shunt-dependent hydrocephalus following rupture of cerebral aneurysms. Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia [Internet]. 2013 Mar 18 [cited 2013 May 31]; Available from: http://www.ncbi.nlm.nih.gov/pubmed/23517672
dc.source.bibliographicCitationOliveira JG De, Goethe-university JW, Beck J, Setzer M. Risk of Shunt-dependent hydrocephalus after occlusion of ruptured intracranial aneurysms by surgical clipping or endovascular coiling: A single institution series and meta-analysis. 2007;61(5):924–34.
dc.source.bibliographicCitationAkyuz M, Tuncer R. The effects of fenestration of the interpeduncular cistern membrane arousted to the opening of lamina terminalis in patients with ruptured ACoA aneurysms: a prospective, comparative study. Acta neurochirurgica [Internet]. 2006 Jul [cited 2013 Jun 1];148(7):725–3; discussion 731–2. Available from: http://www.ncbi.nlm.nih.gov/pubmed/16489503
dc.source.bibliographicCitationYagargil, M. G. M. Microsurgical anatomy of the basal cisterns and vessels of the brain, diagnostic studies, general operative techniques and pathological considerations of the intracranial aneurysms. Inc. GTVTS, York S• NYN, editors. 1984. p. 346–7.
dc.source.bibliographicCitationKomotar RJ, Olivi A, Rigamonti D, Al ET. MICROSURGICAL F ENESTRATION OF THE L AMINA. 2002;51(6):1403–13.
dc.source.bibliographicCitationConnolly ES, Rabinstein A a, Carhuapoma JR, Derdeyn CP, Dion J, Higashida RT, et al. Guidelines for the management of aneurysmal subarachnoid hemorrhage: a guideline for healthcare professionals from the American Heart Association/american Stroke Association. Stroke; a journal of cerebral circulation [Internet]. 2012 Jun [cited 2013 May 22];43(6):1711–37. Available from: http://www.ncbi.nlm.nih.gov/pubmed/22556195
dc.source.instnameinstname:Universidad del Rosariospa
dc.source.reponamereponame:Repositorio Institucional EdocURspa
dc.subjectHemorragia subaracnoidea espontáneaspa
dc.subjectescala de Fisherspa
dc.subjecttomografía axial computarizadaspa
dc.subjecthidrocefalia aguda, subaguda y crónicaspa
dc.subjectpunción lumbar seriadaspa
dc.subjectfenestración de lámina terminalisspa
dc.subject.decsESCALA DE FISHERspa
dc.subject.decsESCALA DE HUNT-HESSspa
dc.subject.decsHEMORRAGIA SUBARACNOIDEA – DIAGNÓSTICOspa
dc.subject.decsHIDROCEFALIAspa
dc.subject.decsNEUROCIRUGÍA - INVESTIGACIONESspa
dc.subject.keywordspontaneous subarachnoid hemorrhageeng
dc.subject.keywordFisher scaleeng
dc.subject.keywordcomputed tomographyeng
dc.subject.keywordhydrocephalus acuteeng
dc.subject.keywordserial lumbar punctureeng
dc.subject.keywordfenestration of lamina terminaliseng
dc.titleEscala de Fisher como factor predictor de hidrocefalia en hemorragia subaracnoidea espontaneaspa
dc.typemasterThesiseng
dc.type.hasVersioninfo:eu-repo/semantics/submittedVersion
dc.type.spaTrabajo de gradospa
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