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- W2317502736 abstract "Pathophysiology of severe subarachnoid hemorrhage (SAH) is still unclear. Neurological grading of SAH, such as WFNS grading, is popularly employed to select patients with severe SAH for radical surgery. Although the cases of whom grade improve after admission are often encountered, preoperative sedation or barbiturate and/or hypothermia therapy mask the improvement of neurological grade. These let us to analyze natural course of WFNS grade of patients with severe SAH and the outcome.Forty-four patients with WFNS grade IV-V on admission were enrolled in this study. The patients received mannitol and/or ventricular drainage, were observed without neuroleptics or analgesics for 12 hours under control of blood pressure, and the then WFNS grade was re-evaluated. When the patients showed grade III or better, radical surgery was performed.90% of patients with grade IV on admission showed III or better 12 hours after admission, and received radical surgery. However, less than half of patients with grade V on admission showed IV or better, and only 30% of them received radical surgery. Over 80% of patients received radical surgery showed good prognosis. These results suggest that WFNS grade after 12 hours observation may help to determine the indication of radical surgery for severe SAH." @default.
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- W2317502736 date "1998-01-01" @default.
- W2317502736 modified "2023-09-26" @default.
- W2317502736 title "Time course of neurological grading in patients with severe SAH and prognosis." @default.
- W2317502736 cites W1969833505 @default.
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- W2317502736 doi "https://doi.org/10.3995/jstroke.20.632" @default.
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