Spontaneous subarachnoid hemorrhage in young adults

Jose Biller; Gilbert J Toffol; Neal F Kassell; Harold P Adams Jr; David W Beck; David J Boarini

doi:10.1097/00006123-198711000-00011

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Spontaneous subarachnoid hemorrhage in young adults

Journal article

Peer reviewed

Spontaneous subarachnoid hemorrhage in young adults

Jose Biller, Gilbert J Toffol, Neal F Kassell, Harold P Adams Jr, David W Beck and David J Boarini

Neurosurgery, Vol.21(5), pp.664-667

1987

DOI: 10.1097/00006123-198711000-00011

PMID: 3696399

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Abstract

We evaluated 95 hospitalized patients (50 women and 45 men) aged 15 to 45 who had nontraumatic subarachnoid hemorrhage (SAH). Aneurysmal SAH was identified in 75 patients. Other causes for SAH were ruptured arteriovenous malformations (2 cases), amphetamine arteritis (1 case), and leptomeningeal melanoma (1 case). The cause of SAH was undetermined in 16 (17%) patients. Thirteen patients had histories of hypertension, 5 used oral contraceptives, and 4 had consumed large quantities of alcohol during the day before SAH. Only 1 patient had Type I diabetes mellitus. Diagnosis was delayed in 21 patients. Operation was performed in 71 patients, with only 3 (4.2%) deaths. The overall mortality was 8.4% (8 of 95), with all deaths due to neurological causes. Our data suggest that the overall management and surgical results of treatment of ruptured aneurysms in young adults are excellent, diabetes is rare among young adults with SAH, recent alcohol consumption does not seem to be a major factor predisposing to SAH in young adults, and misinterpretation of the early symptoms of SAH continues to be a serious problem.

Neurology

Biological and medical sciences

Vascular diseases and vascular malformations of the nervous system

Medical sciences

Details

Title: Subtitle: Spontaneous subarachnoid hemorrhage in young adults
Creators: Jose Biller - Univ. Iowa hosp. clin., dep. neurology, Iowa City IA 52242, United States
Gilbert J Toffol - Univ. Iowa hosp. clin., dep. neurology, Iowa City IA 52242, United States
Neal F Kassell - Univ. Iowa hosp. clin., dep. neurology, Iowa City IA 52242, United States
Harold P Adams Jr - Univ. Iowa hosp. clin., dep. neurology, Iowa City IA 52242, United States
David W Beck - Univ. Iowa hosp. clin., dep. neurology, Iowa City IA 52242, United States
David J Boarini - Univ. Iowa hosp. clin., dep. neurology, Iowa City IA 52242, United States
Resource Type: Journal article
Publication Details: Neurosurgery, Vol.21(5), pp.664-667
Publisher: Lippincott Williams & Wilkins; Hagerstown, MD
DOI: 10.1097/00006123-198711000-00011
PMID: 3696399
ISSN: 0148-396X
eISSN: 1524-4040
Language: English
Date published: 1987
Academic Unit: Neurology; Iowa Neuroscience Institute
Record Identifier: 9984020863502771

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