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Early Cerebral Infarction after Aneurysmal Subarachnoid Hemorrhage

  • Chapter
Brain Edema XVI

Part of the book series: Acta Neurochirurgica Supplement ((NEUROCHIRURGICA,volume 121))

Abstract

Aneurysmal subarachnoid hemorrhage (SAH) is a serious disease with high case fatality and morbidity. Early cerebral infarction has been suggested as a risk factor for poor outcome. We aimed to assess the pattern of early and delayed cerebral infarction after aneurysmal subarachnoid hemorrhage. We prospectively enrolled consecutive aneurysmal subarachnoid hemorrhage (SAH) patients presenting to an academic neurosurgical referral center (Prince of Wales Hospital, the Chinese University of Hong Kong) in Hong Kong. Cerebral infarction occurred in 24 (48 %) patients, in which 14 (28 %) had early cerebral infarction and 14 (28 %) had delayed cerebral infarction. Early anterior cerebral infarction occurred in a similar proportion of anterior and posterior circulation aneurysms (24 % vs. 21 %), whereas posterior circulation aneurysm patients had a higher proportion of early posterior cerebral infarction compared with anterior circulation aneurysm patients (18 % vs. 2 %). In conclusion, early cerebral infarction was common and different from delayed cerebral infarction.

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Authors and Affiliations

  1. Division of Neurosurgery, Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China

    George Kwok Chu Wong MD, Sandy Wai Lam BSocSc, Emily Kit Ying Chan FRCS & Wai Sang Poon FRCS

  2. Department of Surgery, Prince of Wales Hospital, 4/F Clinical Science Building, 30-32 Ngan Shing Street, Shatin, New Territories, Hong Kong, SAR, China

    George Kwok Chu Wong MD

  3. Department of Diagnostic Radiology and Organ Imaging, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China

    Joyce Hoi Ying Leung MBChB, Janice Wong Li Yu MBBS, Jill Abrigo FRCR & Deyond Yun Woon Siu FRCR

Authors
  1. George Kwok Chu Wong MD
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  2. Joyce Hoi Ying Leung MBChB
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  3. Janice Wong Li Yu MBBS
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  4. Sandy Wai Lam BSocSc
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  5. Emily Kit Ying Chan FRCS
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  6. Wai Sang Poon FRCS
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  7. Jill Abrigo FRCR
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  8. Deyond Yun Woon Siu FRCR
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Corresponding author

Correspondence to George Kwok Chu Wong MD .

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Editors and Affiliations

  1. Department of Anesthesiology, Loma Linda University School of Medicine, Loma Linda, California, USA

    Richard L. Applegate

  2. Department of Neurosurgery, Soochow University The First Affiliated Hospital, Suzhou, Jiangsu, China

    Gang Chen

  3. Department of Neurosurgery, Third Military Medical University Southwest Hospital, Chongqing, China

    Hua Feng

  4. Dept.of Anesthesiology, Physiology and Neurosurgery, Loma Linda University School of Medicine, Loma Linda, California, USA

    John H. Zhang

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© 2016 Springer International Publishing Switzerland

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Wong, G.K.C. et al. (2016). Early Cerebral Infarction after Aneurysmal Subarachnoid Hemorrhage. In: Applegate, R., Chen, G., Feng, H., Zhang, J. (eds) Brain Edema XVI. Acta Neurochirurgica Supplement, vol 121. Springer, Cham. https://doi.org/10.1007/978-3-319-18497-5_28

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  • DOI: https://doi.org/10.1007/978-3-319-18497-5_28

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-18496-8

  • Online ISBN: 978-3-319-18497-5

  • eBook Packages: MedicineMedicine (R0)

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