Long term follow up after perimesencephalic subarachnoid haemorrhage
OBJECTIVES To evaluate the long term sequelae of perimesencephalic subarachnoid haemorrhage (PMSAH). METHODS Twenty one consecutive patients were studied. All patients were examined by CT, angiography, MRI, multimodal evoked potentials, and transcranial Doppler sonography. All relevant clinical data...
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description | OBJECTIVES To evaluate the long term sequelae of perimesencephalic subarachnoid haemorrhage (PMSAH). METHODS Twenty one consecutive patients were studied. All patients were examined by CT, angiography, MRI, multimodal evoked potentials, and transcranial Doppler sonography. All relevant clinical data during hospital stay and outcome at discharge were obtained by reviewing the charts. Long term follow up was evaluated by reviewing the outpatient files and dedicated outpatient review. Patients were specifically questioned about their perceived recovery, residual complaints, and present occupational status. RESULTS Apart from the initial CT confirming the diagnosis of PMSAH all other examinations disclosed no abnormalities. None of the patients developed any complications during hospital stay, and all patients were discharged in good clinical condition and without neurological deficits. At long term follow up 62% of the patients had residual complaints consisting of headaches, irritability, depression, forgetfulness, weariness, and diminished endurance. Apart from four patients who had already retired before the PMSAH, only seven of the remaining 17 patients (41%) returned to their previous occupation, whereas nine patients (53%) retired from work and one man became unemployed. One patient had a recurrence of PMSAH 31 months after the first event. CONCLUSION PMSAH can have considerable long term psychosocial sequelae, and may also recur. Prognosis may not be as good as previously reported. |
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METHODS Twenty one consecutive patients were studied. All patients were examined by CT, angiography, MRI, multimodal evoked potentials, and transcranial Doppler sonography. All relevant clinical data during hospital stay and outcome at discharge were obtained by reviewing the charts. Long term follow up was evaluated by reviewing the outpatient files and dedicated outpatient review. Patients were specifically questioned about their perceived recovery, residual complaints, and present occupational status. RESULTS Apart from the initial CT confirming the diagnosis of PMSAH all other examinations disclosed no abnormalities. None of the patients developed any complications during hospital stay, and all patients were discharged in good clinical condition and without neurological deficits. At long term follow up 62% of the patients had residual complaints consisting of headaches, irritability, depression, forgetfulness, weariness, and diminished endurance. Apart from four patients who had already retired before the PMSAH, only seven of the remaining 17 patients (41%) returned to their previous occupation, whereas nine patients (53%) retired from work and one man became unemployed. One patient had a recurrence of PMSAH 31 months after the first event. CONCLUSION PMSAH can have considerable long term psychosocial sequelae, and may also recur. Prognosis may not be as good as previously reported.</description><identifier>ISSN: 0022-3050</identifier><identifier>EISSN: 1468-330X</identifier><identifier>DOI: 10.1136/jnnp.69.1.127</identifier><identifier>PMID: 10864620</identifier><identifier>CODEN: JNNPAU</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Aneurysms ; Biological and medical sciences ; Diagnostic Imaging ; Female ; Follow-Up Studies ; Headaches ; Hemorrhage ; Humans ; Male ; Medical imaging ; Medical sciences ; Mesencephalon - pathology ; Middle Aged ; negative angiography ; Neurologic Examination ; Neurology ; Patients ; perimesencephalic subarachnoid haemorrhage ; Quality of life ; Rehabilitation, Vocational ; Short Report ; Studies ; Subarachnoid Hemorrhage - diagnosis ; Subarachnoid Hemorrhage - rehabilitation ; Vascular diseases and vascular malformations of the nervous system</subject><ispartof>Journal of neurology, neurosurgery and psychiatry, 2000-07, Vol.69 (1), p.127-130</ispartof><rights>Journal of Neurology, Neurosurgery, and Psychiatry</rights><rights>2000 INIST-CNRS</rights><rights>Copyright: 2000 Journal of Neurology, Neurosurgery, and Psychiatry</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b511t-4d0aada1c2462750157fb0d4d170a58b0398a0e0e28f219645ef9d022178e2d13</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1737017/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1737017/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=1391826$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10864620$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Marquardt, Gerhard</creatorcontrib><creatorcontrib>Niebauer, Thomas</creatorcontrib><creatorcontrib>Schick, Uta</creatorcontrib><creatorcontrib>Lorenz, Rüdiger</creatorcontrib><title>Long term follow up after perimesencephalic subarachnoid haemorrhage</title><title>Journal of neurology, neurosurgery and psychiatry</title><addtitle>J Neurol Neurosurg Psychiatry</addtitle><description>OBJECTIVES To evaluate the long term sequelae of perimesencephalic subarachnoid haemorrhage (PMSAH). METHODS Twenty one consecutive patients were studied. All patients were examined by CT, angiography, MRI, multimodal evoked potentials, and transcranial Doppler sonography. All relevant clinical data during hospital stay and outcome at discharge were obtained by reviewing the charts. Long term follow up was evaluated by reviewing the outpatient files and dedicated outpatient review. Patients were specifically questioned about their perceived recovery, residual complaints, and present occupational status. RESULTS Apart from the initial CT confirming the diagnosis of PMSAH all other examinations disclosed no abnormalities. None of the patients developed any complications during hospital stay, and all patients were discharged in good clinical condition and without neurological deficits. At long term follow up 62% of the patients had residual complaints consisting of headaches, irritability, depression, forgetfulness, weariness, and diminished endurance. Apart from four patients who had already retired before the PMSAH, only seven of the remaining 17 patients (41%) returned to their previous occupation, whereas nine patients (53%) retired from work and one man became unemployed. One patient had a recurrence of PMSAH 31 months after the first event. CONCLUSION PMSAH can have considerable long term psychosocial sequelae, and may also recur. Prognosis may not be as good as previously reported.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Aneurysms</subject><subject>Biological and medical sciences</subject><subject>Diagnostic Imaging</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Headaches</subject><subject>Hemorrhage</subject><subject>Humans</subject><subject>Male</subject><subject>Medical imaging</subject><subject>Medical sciences</subject><subject>Mesencephalon - pathology</subject><subject>Middle Aged</subject><subject>negative angiography</subject><subject>Neurologic Examination</subject><subject>Neurology</subject><subject>Patients</subject><subject>perimesencephalic subarachnoid haemorrhage</subject><subject>Quality of life</subject><subject>Rehabilitation, Vocational</subject><subject>Short Report</subject><subject>Studies</subject><subject>Subarachnoid Hemorrhage - diagnosis</subject><subject>Subarachnoid Hemorrhage - rehabilitation</subject><subject>Vascular diseases and vascular malformations of the nervous system</subject><issn>0022-3050</issn><issn>1468-330X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqFkcuP0zAQxi0EYruFI1cUCbTikjLjxE5yWQmVp1TxEiBu1iRxmpTEDnbC47_HUavdhQs-2NLMTzPf54-xBwgbxEQ-PRgzbmSxwQ3y7BZbYSrzOEng6222AuA8TkDAGTv3_gDLyYu77Awhl6nksGLPd9bso0m7IWps39uf0TxG1IRCNGrXDdprU-mxpb6rIj-X5Khqje3qqCU9WOda2ut77E5Dvdf3T--afX754tP2dbx79-rN9tkuLgXiFKc1ENWEFQ-7MwEosqaEOq0xAxJ5CUmRE2jQPG84FjIVuinq4AGzXPMakzW7PM4d53LQdaXN5KhXY9BJ7rey1Km_O6Zr1d7-UJglGYRrzS5OA5z9Pms_qaHzle57MtrOXmXIl58pAvjoH_BgZ2eCuTArR4GiQBGo-EhVznrvdHMlBUEt6aglHSULhSqkE_iHN_XfoI9xBODxCSBfUd84MlXnr7mkwJzL672dn_Svqza5b0oGp0K9_bJV72H3Ic2Sj2rhnxz5cjj8R-IffMm0TA</recordid><startdate>20000701</startdate><enddate>20000701</enddate><creator>Marquardt, Gerhard</creator><creator>Niebauer, Thomas</creator><creator>Schick, Uta</creator><creator>Lorenz, Rüdiger</creator><general>BMJ Publishing Group Ltd</general><general>BMJ</general><general>BMJ Publishing Group LTD</general><general>BMJ Group</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20000701</creationdate><title>Long term follow up after perimesencephalic subarachnoid haemorrhage</title><author>Marquardt, Gerhard ; Niebauer, Thomas ; Schick, Uta ; Lorenz, Rüdiger</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b511t-4d0aada1c2462750157fb0d4d170a58b0398a0e0e28f219645ef9d022178e2d13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Aneurysms</topic><topic>Biological and medical sciences</topic><topic>Diagnostic Imaging</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Headaches</topic><topic>Hemorrhage</topic><topic>Humans</topic><topic>Male</topic><topic>Medical imaging</topic><topic>Medical sciences</topic><topic>Mesencephalon - pathology</topic><topic>Middle Aged</topic><topic>negative angiography</topic><topic>Neurologic Examination</topic><topic>Neurology</topic><topic>Patients</topic><topic>perimesencephalic subarachnoid haemorrhage</topic><topic>Quality of life</topic><topic>Rehabilitation, Vocational</topic><topic>Short Report</topic><topic>Studies</topic><topic>Subarachnoid Hemorrhage - diagnosis</topic><topic>Subarachnoid Hemorrhage - rehabilitation</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Marquardt, Gerhard</creatorcontrib><creatorcontrib>Niebauer, Thomas</creatorcontrib><creatorcontrib>Schick, Uta</creatorcontrib><creatorcontrib>Lorenz, Rüdiger</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Science Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of neurology, neurosurgery and psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Marquardt, Gerhard</au><au>Niebauer, Thomas</au><au>Schick, Uta</au><au>Lorenz, Rüdiger</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Long term follow up after perimesencephalic subarachnoid haemorrhage</atitle><jtitle>Journal of neurology, neurosurgery and psychiatry</jtitle><addtitle>J Neurol Neurosurg Psychiatry</addtitle><date>2000-07-01</date><risdate>2000</risdate><volume>69</volume><issue>1</issue><spage>127</spage><epage>130</epage><pages>127-130</pages><issn>0022-3050</issn><eissn>1468-330X</eissn><coden>JNNPAU</coden><abstract>OBJECTIVES To evaluate the long term sequelae of perimesencephalic subarachnoid haemorrhage (PMSAH). METHODS Twenty one consecutive patients were studied. All patients were examined by CT, angiography, MRI, multimodal evoked potentials, and transcranial Doppler sonography. All relevant clinical data during hospital stay and outcome at discharge were obtained by reviewing the charts. Long term follow up was evaluated by reviewing the outpatient files and dedicated outpatient review. Patients were specifically questioned about their perceived recovery, residual complaints, and present occupational status. RESULTS Apart from the initial CT confirming the diagnosis of PMSAH all other examinations disclosed no abnormalities. None of the patients developed any complications during hospital stay, and all patients were discharged in good clinical condition and without neurological deficits. At long term follow up 62% of the patients had residual complaints consisting of headaches, irritability, depression, forgetfulness, weariness, and diminished endurance. Apart from four patients who had already retired before the PMSAH, only seven of the remaining 17 patients (41%) returned to their previous occupation, whereas nine patients (53%) retired from work and one man became unemployed. One patient had a recurrence of PMSAH 31 months after the first event. CONCLUSION PMSAH can have considerable long term psychosocial sequelae, and may also recur. Prognosis may not be as good as previously reported.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd</pub><pmid>10864620</pmid><doi>10.1136/jnnp.69.1.127</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Aged Aged, 80 and over Aneurysms Biological and medical sciences Diagnostic Imaging Female Follow-Up Studies Headaches Hemorrhage Humans Male Medical imaging Medical sciences Mesencephalon - pathology Middle Aged negative angiography Neurologic Examination Neurology Patients perimesencephalic subarachnoid haemorrhage Quality of life Rehabilitation, Vocational Short Report Studies Subarachnoid Hemorrhage - diagnosis Subarachnoid Hemorrhage - rehabilitation Vascular diseases and vascular malformations of the nervous system |
title | Long term follow up after perimesencephalic subarachnoid haemorrhage |
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