Abstract

OLIVEIRA, Arthur Maynart Pereira et al. Fisher revised scale for assessment of prognosis in patients with subarachnoid hemorrhage. Arq. Neuro-Psiquiatr. [online]. 2011, vol.69, n.6, pp. 910-913. ISSN 0004-282X.  http://dx.doi.org/10.1590/S0004-282X2011000700012.

The Fisher revised scale (FRS) presents an alternative for evaluating patients with subarachnoid hemorrhage (SAH). In this study, we compared the prognosis of patients with SAH and vasospasms (VSP). METHOD: This was a prospective study on patients with a diagnosis of aneurysmal SAH, 72 hours after the initial event. Sequential neurological examinations and Hunt and Hess (HaH) score were performed on the 1^st, 7^th and 14^th days. Transcranial Doppler was used to assess vasospasms. RESULTS: Out of the 24 patients studied, ten (41.66%) presented a delayed neurological deficit, such as diminished consciousness, decreased HaH score or death. The single patient classified as FS-1 did not have any delayed neurological deficit, while such deficits evolved in one patient out of five with FS-2 (20%); two out of seven with FS-3 (28.57%) and seven out of 11 with FS-4 (63.63%). CONCLUSION: Level three of the FS and FRS seemed to be compatible with regard to predicting the likelihood of progression to severe VSP.

Keywords : subarachnoid hemorrhage; intracranial vasospasm; prognosis.