Predictores de vasoespasmo cerebral sintomático en la hemorragia subaracnoidea espontánea
<strong>Background:</strong> subarachnoid hemorrhage accounts for only 2 to 5 % of all cerebrovascular diseases; however it causes approximately 25 % of all deaths related to them. <br /><strong>Objective:</strong> to identify the factors contributing to the prediction...
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Universidad de las Ciencias Médicas de Cienfuegos
2014-10-01
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Online Access: | https://revfinlay.sld.cu/index.php/finlay/article/view/288 |
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author | Ezequiel López Espinosa Miguel Ángel Serra Valdés Maira Sarmiento Matamoros |
author_facet | Ezequiel López Espinosa Miguel Ángel Serra Valdés Maira Sarmiento Matamoros |
author_sort | Ezequiel López Espinosa |
collection | DOAJ |
description | <strong>Background:</strong> subarachnoid hemorrhage accounts for only 2 to 5 % of all cerebrovascular diseases; however it causes approximately 25 % of all deaths related to them. <br /><strong>Objective:</strong> to identify the factors contributing to the prediction of symptomatic cerebral vasospasm in patients diagnosed with subarachnoid hemorrhage. <br /><strong>Methods:</strong> a prospective longitudinal study was conducted in 73 patients aged 15 years or more with subarachnoid hemorrhage admitted to the Carlos Manuel de Céspedes Provincial General Hospital in Granma province from January 2010 through October 2011. Descriptive and inferential statistics in addition to clinical epidemiology resources were used. <br /><strong>Results:</strong> among the patients studied, 15 developed symptomatic cerebral vasospasm (20.5 %). Closely-related factors included: advanced age, loss of consciousness at the time of onset, intracranial hypertension as major clinical syndrome, water-electrolyte imbalance and respiratory arrhythmias. Low scores on the Glasgow Coma scale and high scores on the Hunt and Hess scale and the World Federation of Neurosurgical Societies scale are related to the presence of symptomatic cerebral vasospasm in spontaneous subarachnoid hemorrhage. <br /><strong>Conclusions:</strong> in most cases, diagnosis of vasospasm after subarachnoid hemorrhage is clinically established. Relying on clinical predictors can be useful. |
format | Article |
id | doaj-art-cd2c545a299d42afb9615e21e504d91d |
institution | Kabale University |
issn | 2221-2434 |
language | Spanish |
publishDate | 2014-10-01 |
publisher | Universidad de las Ciencias Médicas de Cienfuegos |
record_format | Article |
series | Revista Finlay |
spelling | doaj-art-cd2c545a299d42afb9615e21e504d91d2025-01-30T21:21:57ZspaUniversidad de las Ciencias Médicas de CienfuegosRevista Finlay2221-24342014-10-0143172183185Predictores de vasoespasmo cerebral sintomático en la hemorragia subaracnoidea espontáneaEzequiel López Espinosa0Miguel Ángel Serra Valdés1Maira Sarmiento Matamoros2Hospital General Provincial Carlos Manuel de Céspedes. Bayamo. Granma.Hospital General Docente Enrique Cabrera. La Habana.Hospital General Provincial Carlos Manuel de Céspedes. Bayamo. Granma.<strong>Background:</strong> subarachnoid hemorrhage accounts for only 2 to 5 % of all cerebrovascular diseases; however it causes approximately 25 % of all deaths related to them. <br /><strong>Objective:</strong> to identify the factors contributing to the prediction of symptomatic cerebral vasospasm in patients diagnosed with subarachnoid hemorrhage. <br /><strong>Methods:</strong> a prospective longitudinal study was conducted in 73 patients aged 15 years or more with subarachnoid hemorrhage admitted to the Carlos Manuel de Céspedes Provincial General Hospital in Granma province from January 2010 through October 2011. Descriptive and inferential statistics in addition to clinical epidemiology resources were used. <br /><strong>Results:</strong> among the patients studied, 15 developed symptomatic cerebral vasospasm (20.5 %). Closely-related factors included: advanced age, loss of consciousness at the time of onset, intracranial hypertension as major clinical syndrome, water-electrolyte imbalance and respiratory arrhythmias. Low scores on the Glasgow Coma scale and high scores on the Hunt and Hess scale and the World Federation of Neurosurgical Societies scale are related to the presence of symptomatic cerebral vasospasm in spontaneous subarachnoid hemorrhage. <br /><strong>Conclusions:</strong> in most cases, diagnosis of vasospasm after subarachnoid hemorrhage is clinically established. Relying on clinical predictors can be useful.https://revfinlay.sld.cu/index.php/finlay/article/view/288predicciónvasoespasmo intracranealhemorragia subaracnoidea |
spellingShingle | Ezequiel López Espinosa Miguel Ángel Serra Valdés Maira Sarmiento Matamoros Predictores de vasoespasmo cerebral sintomático en la hemorragia subaracnoidea espontánea Revista Finlay predicción vasoespasmo intracraneal hemorragia subaracnoidea |
title | Predictores de vasoespasmo cerebral sintomático en la hemorragia subaracnoidea espontánea |
title_full | Predictores de vasoespasmo cerebral sintomático en la hemorragia subaracnoidea espontánea |
title_fullStr | Predictores de vasoespasmo cerebral sintomático en la hemorragia subaracnoidea espontánea |
title_full_unstemmed | Predictores de vasoespasmo cerebral sintomático en la hemorragia subaracnoidea espontánea |
title_short | Predictores de vasoespasmo cerebral sintomático en la hemorragia subaracnoidea espontánea |
title_sort | predictores de vasoespasmo cerebral sintomatico en la hemorragia subaracnoidea espontanea |
topic | predicción vasoespasmo intracraneal hemorragia subaracnoidea |
url | https://revfinlay.sld.cu/index.php/finlay/article/view/288 |
work_keys_str_mv | AT ezequiellopezespinosa predictoresdevasoespasmocerebralsintomaticoenlahemorragiasubaracnoideaespontanea AT miguelangelserravaldes predictoresdevasoespasmocerebralsintomaticoenlahemorragiasubaracnoideaespontanea AT mairasarmientomatamoros predictoresdevasoespasmocerebralsintomaticoenlahemorragiasubaracnoideaespontanea |