The proposal of subgroups for grade V on World Federation of Neurologic Surgeons grading for subarachnoid hemorrhage

• Published in: Journal of neurosurgical sciences Vol. 57; no. 4; p. 303
• Main Authors: Nakagawa, M, Sugiu, K, Tokunaga, K, Sakamoto, C, Fujiwara, K
• Format: Journal Article
• Language: English
• Published: Italy 01-12-2013
• Subjects: Adult; Aged; Aged, 80 and over; Female; Humans; Male; Middle Aged; Ophthalmoplegia - complications; Ophthalmoplegia - diagnostic imaging; Ophthalmoplegia - surgery; Prognosis; Radiography; Subarachnoid Hemorrhage - classification; Subarachnoid Hemorrhage - complications; Subarachnoid Hemorrhage - diagnostic imaging; Subarachnoid Hemorrhage - surgery; Treatment Outcome
• ISSN: 0390-5616

Some of cases suffering from subarachnoid hemorrhages (SAHs) in grade V on World Federation of Neurologic Surgeons (WFNS) grading can gain a good prognosis. The outcome of patients of SAH in grade V on WFNS grading in their institute was here investigated.
Between April 2007 and July 2012, consecutive 37 patients had SAH diagnosed on CT scan and were classified in grade V on WFNS grading in Kosei General Hospital. There were seventeen male and twenty female patients. We were assigned to patients with spontaneous respiration and without oculomotor palsy (N group, N.=11), and patients with oculomotor palsy (O group, N.=26). Patients were evaluated by mRS.
The prognosis in N group was significantly better than in O group (P<0.001).
Surgical treatments should be considered for SAH patients without oculomotor palsy. It is necessary to make subgroups in grade V on WFNS grading in order to decide operative indication and evaluate the treatment results of SAH in grade V.