Clinical presentation of ruptured intracranial aneurysm

Sarner, M.; Fc, Rose

doi:10.1136/jnnp.30.1.67

Cited by 45 publications

(20 citation statements)

References 10 publications

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“…In the present series the frequency of seizures within 12 h of the onset of SAH was 6.3%, a figure within the range mentioned in the literature [12,14,[17][18][19]22], except for the series of Bonita and Thomson [3] and Bassi et al [1], where no seizures were observed at onset, and the series of Biller et al [2] and Hart et al [8], who reported 21% and 19%, respectively. However, Biller et al studied SAH in young patients (15-45 years old) while Hart et al included only patients with aneurysmal SAH.…”

Section: Discussionsupporting

confidence: 60%

“…Features associated with the occurrence of seizures in SAH included haematomas and anterior circulation aneurysms [17], previous hypertension, ischaemic infarct shown on late CT and duration of coma longer than 1 h [16], and even a higher prevalence of vertebrobasilar aneurysms [8]. Because many of the predisposing factors are associated, they should be analysed by multivariate techniques.…”

Section: Discussionmentioning

confidence: 99%

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Seizures at the onset of subarachnoid haemorrhage

1996

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In a prospective study of 253 patients with subarachnoid haemorrhage, 16 (6.3%) had seizures at the onset of bleeding. None had a previous history of seizures. One was an alcoholic. None had metabolic imbalance. Hemiparesis, Hunt's grade > 3, the amount of subarachnoid blood and the presence of an aneurysm were significantly more frequent in patients with seizures at the onset of subarachnoid haemorrhage. Although rebleeding and mortality or severe disability at discharge were more frequent in these patients, seizures were not a significant predictor of prognosis. One of the survivors with early seizures developed recurrent epileptic seizures 1 year later.

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Section: Discussionsupporting

confidence: 60%

Section: Discussionmentioning

confidence: 99%

Seizures at the onset of subarachnoid haemorrhage

1996

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“…Although it is mentioned in the textbooks and monographs on cerebrovascular disease that rupture of an aneurysm is relatively often associated with strenuous physical activity [1,2], it is not yet certain whether physi cal exertion is instrumental in provoking aneurysmal rup ture or not [3], Furthermore, the level of activity at the onset of SAH is not clearly documented in these [1,2] and other reports [4][5][6].…”

Section: Introductionmentioning

confidence: 87%

Circumstances Precipitating Aneurysmal Subarachnoid Hemorrhage

et al. 1993

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To determine the precipitating factors of aneurysmal rupture, the medical records of 425 consecutive patients with aneurysmal subarachnoid hemorrhage were reviewed. As for the time of onset, a significantly higher incidence was found between 06.00 and 09.00 h and 18.00 and 21.00 h. Aneurysmal rupture occurred most frequently during talking, watching TV or staying home without any strenuous physical activity. The highest peak incidence considering the time spent was found during defecation and/or micturition. There was no evidence that aneurysmal rupture was prone to occur during physical work, either at the workplace or at home. Hypertension was the most common preexisting disease.

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“…Other symptoms of unruptured aneurysms include transient cerebral ischemia, gradual-onset headache, seizure, or mass effect (2,53,143). The classic mass lesion is a third cranial nerve palsy, an important syndrome for emergency physicians to understand (99,146,147).…”

Section: Symptomatic Unruptured Aneurysmsmentioning

confidence: 98%