Andrew Naidech PT -期刊文章盟盟——尼尔·罗森博格盟——马太福音马斯河AU -伯纳德Bendok AU - h . Batjer AU -亚历山大Nemeth TI -预测出血后体积和残疾Perimesencephalic蛛网膜下腔出血(P02.227) DP - 2012年4月24日TA -神经病学PG - P02.227 P02.227 VI - 78 IP - 1补充4099 - //www.ez-admanager.com/content/78/1_Supplement/P02.227.short 410首页0 - //www.ez-admanager.com/content/78/1_Supplement/P02.227.full所以Neurology2012 4月24日;78 AB -目标:我们的目标是确定减少血小板活动门票和引流静脉异常与蛛网膜下腔出血(SAH)体积大。背景蛛网膜下腔出血体积和非典型模式的决定因素的血液尚不清楚。设计/方法:我们前瞻性地确定non-comatose SAH患者没有可识别的动脉瘤。我们经常测量血小板活动并记录服用阿司匹林的承认。SAH卷计算与验证技术。综述了CT血管造影检查的认证neuroradiologist引流静脉。随访观察患者的临床结果通过与修改后的3个月内兰金规模(夫人)。数据(Q1-Q3)。结果:有31例队列。30(97%)接受了血管造影在承认,和25(81%)额外的延迟血管造影。SAH最低成交量与正常静脉引流双边(4.4[3.7 - -16.4]毫升)和高(12.9[3.7—-20.4])或两个(20.9毫升(12.5 - -34.6),P = 0.03)间断静脉流域。 Patients with reduced platelet activity had more SAH on the diagnostic CT, 17.5 [10.6 – 20.9] vs. 6.1 [2.3 – 15.3] mL (P=0.046). SAH volume was greater for patients requiring drainage for hydrocephalus 16.4 [11.5 – 20.5] vs. 5.4 [2.7 – 16.4] mL (P=0.009). Outcomes at three months were generally excellent (median mRS=0, no symptoms).Conclusions: Discontinuous venous drainage and reduced platelet activity were associated with increased SAH volume and hydrocephalus. These factors may explain thick SAH and reduce the need for repeated invasive imaging in such patients.Supported by: This work was departmentally funded.Disclosure: Dr. Naidech has received research support from Gaymar Inc. Dr. Rosenberg has nothing to disclose. Dr. Maas has nothing to disclose. Dr. Bendok has nothing to disclose. Dr. Batjer has nothing to disclose. Dr. Nemeth has nothing to disclose.Tuesday, April 24 2012, 07:30 am-12:00 pm