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Journal of the Korean Academy of Rehabilitation Medicine 1992;16(2):139-146.
Functional Outcomes of Subarachnoid Hemorrhage and Other Stroke
Han, Tai Ryoon , Kim, Jin Ho , Kim, Hyeon Sook , Paik, Nam Jong
Department of Rehabilitation Medicine, Seoul National University College of Medicine
뇌지주막하 출혈 및 다른 뇌졸중 환자의 기능회복에 대한 고찰
한태륜, 김진호, 김현숙, 백남종
서울대학교 의과대학 재활의학교실

Recent treatment trend of subarachnoid hemorrhage patients is early neurosurgical operation to reduce late complications of delayed cerebral vasospasm or rebleeding by removing the vasospasmogenic blood clots. So, final functional outcomes have been improved.

To compare the functional outcomes of subarachnoid hemorrhage patients to that of infarction or intracranial hemorrhage patients, 38 selected patients with cerebrovascular accidents were studied in a 33-month period.

Parameters that were studied were nature, location and size of the lesion and their functional status. Final functional status was measured utilizing Modified Barthel Index, Brunnstrom stage at discharge. Duration of rehabilitatin stay, rehabilitation efficiency and achievement of rehabilitation potentials were also considered.

To study the factors influencing the functional outcomes of subarachnoid hemorrhage patients, clinical conditions on admission utilizing sum of Glasgow Coma Scale, Hung-Hess system, comsciousness level and the presence of Hydrocephalus and loss of consciousness were also analyzed.

The major results are as follows:

1) Vasospasms or rebleedings of subarachnoid hemorrhage have better functional outcome than infarction or intracranial hemorrhage of other stroke.

2) There are different prognostic groups in subarachnoid hemorrhage on location of aneurysm, and middle cerebral artery aneurysm has better functional outcome than the basilar artery aneurysm.

3) Subarachnoid hemorrhage of middle cerebral artery aneurysm and small sized infarction or intracranial hemorrhage are about the same functional outcome, but the subarachnoid hemorrhage of basilar artery aneurysm has worse prognosis than large sized infarction or intracranial hemorrhage.

4) In prediction the functional outcomes of subarachnoid hemorrhage, location of aneurysm and presence of hydrocephalus or loss of consciousness are of prognostic values.

Key Words: Stroke, Subarachnoid hemorrhage, Rehabilitation, Functional outcome


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