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Arquivos de Neuro-Psiquiatria

Print version ISSN 0004-282X

Abstract

PAHL, Felix Hendrik; OLIVEIRA, Matheus Fernandes de  and  ROTTA, José Marcus. Natural course of subarachnoid hemorrhage is worse in elderly patients. Arq. Neuro-Psiquiatr. [online]. 2014, vol.72, n.11, pp.862-866. ISSN 0004-282X.  http://dx.doi.org/10.1590/0004-282X20140146.

Aging is a major risk factor for poor outcome in patients with ruptured or unruptured intracranial aneurysms (IA) submitted to treatment. It impairs several physiologic patterns related to cerebrovascular hemodynamics and homeostasis.

Objective

Evaluate clinical, radiological patterns and prognostic factors of subarachnoid hemorrhage (SAH) patients according to age.

Method

Three hundred and eighty nine patients with aneurismal SAH from a Brazilian tertiary institution (Hospital do Servidor Público Estadual de São Paulo) were consecutively evaluated from 2002 to 2012 according to Fisher and Hunt Hess classifications and Glasgow Outcome Scale.

Results

There was statistically significant association of age with impaired clinical, radiological presentation and outcomes in cases of SAH.

Conclusion

Natural course of SAH is worse in elderly patients and thus, proper recognition of the profile of such patients and their outcome is necessary to propose standard treatment.

Keywords : subarachnoid hemorrhage; aneurysm; age; outcome; treatment.

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