| Surgical Outcome of Ruptured Cerebral Aneurysms in Elderly Patients |
|
Sang Jin Jung , Dae Won Kim , Sung Don Kang |
|
Department of Neurosurgery, School of Medicine, Wonkwang University, Iksan, Korea |
| 고령 환자에서 파열된 뇌동맥류의 수술적 치료 결과 |
|
정상진ㆍ김대원ㆍ강성돈 |
|
원광대학교 의과대학 신경외과학교실 |
|
|
| Abstract |
Objective
We are rapidly moving toward an "aged society". As a result, the number of elderly patients with aneurysmal subarachnoid hemorrhage has markedly increased. We retrospectively analyzed clinical feature and the surgical outcome and its attributing factors of cerebral aneurysms among elderly patients more than 65 years of age.
Methods
This retrospective study included all patients 65 years of age or older treated for ruptured cerebral aneurysm during 9 years (January 2001-December 2009). The population was composed of 253 patients. The variables included in the analysis were age, gender, and site of the aneurysm, the Hunt-Hess grade, medical complication mortality rate and multiplicity and Glasgow outcome scale (GOS).
Results
The mean age was 70.4 (ranged 65-89 years), 213 patients (84.2%) were female, 190 patients (75%) had a Hunt & Hess grade of I-III, 97 patients (37.9%) had anterior communicating artery origin. The treatments consisted of neck clipping for 253. One hundred and ninety five patients (77.1%) had a favorable outcome and the overall mortality was 7.9%. The main causes of unfavorable outcomes among the elderly patients included a poor Hunt-Hess grade and fissure grade, and malignant brain edema on admission and medical complication such as pneumonia.
Conclusions
Advanced aged was not a contraindication to aneurysm surgery and early craniotomy can lead to a better outcome in elderly patients. |
| Key Words:
Cerebral aneurysmㆍSubarachnoid hemorrhageㆍSurgical outcomeㆍElderly patient |
|
PDF Links
Download Citation
