Duration of Cerebrospinal Fluid Drainage in Patients With Aneurysmal Subarachnoid Hemorrhage for Prevention of Symptomatic Vasospasm and Late Hydrocephalus
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概要
- 論文の詳細を見る
rights: 本文データは日本脳神経外科学会の許諾に基づきCiNiiから複製したものであるThe optimal duration of cerebrospinal fluid (CSF) drainage after acute aneurysm surgery is unclear. The association between the occurrence of symptomatic vasospasm or late hydrocephalus and the duration of CSF drainage was investigated using multiple logistic analysis in 95 consecutive patients with aneurysmal subarachnoid hemorrhage who underwent surgery within 72 hours after onset. The duration of drainage was significantly related to the occurrence of symptomatic vasospasm and late hydrocephalus. The cut-off values of the duration of drainage for preventing symptomatic vasospasm and late hydrocephalus were 11 days (adjusted odds ratio 0.347, 95% confidence interval 0.135-0.889, p=0.0274) and 6 days (adjusted odds ratio 4.86, 95% confidence interval 1.46-16.2, p=0.0099), respectively. Prevention of both symptomatic vasospasm and late hydrocephalus is not possible without additional procedures such as cisternal irrigation using fibrinolytic agents.
- 日本脳神経外科学会の論文
- 2005-04-15
著者
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ORIGASA Hideki
Division of Biostatistics and Clinical Epidemiology, University of Toyama School of Medicine
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HORI Emiko
Department of Neurosurgery, Aomori Prefectural Central Hospital
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KURIMOTO Masanori
Department of Neurosurgery, Faculty of Medicine, University of Toyama
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HAYASHI Nakamasa
Department of Neurosurgery, Faculty of Medicine, University of Toyama
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ENDO Shunro
Department of Neurosurgery, Faculty of Medicine, University of Toyama
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HIRASHIMA Yutaka
Department of Neurosurgery, University of Toyama
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Origasa Hideki
Division Of Biostatistics Faculty Of Medicine University Of Toyama
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Hirashima Yutaka
Physiological Chemistry Faculty Of Pharmaceutical Sciences Teikyo University
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Hori Emiko
Department Of Neurosurgery Faculty Of Medicine University Of Toyama
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Hori Emiko
Department Of Neurosurgery Aomori Prefectural Central Hospital
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UMEMURA Kimiko
Department of Neurosurgery, University of Toyama
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Umemura Kimiko
Department Of Neurosurgery University Of Toyama
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Kurokawa M
School Of Medicine Toyama Medical And Pharmaceutical University
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Kurokawa Masahiko
Department Of Biochemistry School Of Pharmaceutical Sciences Kyushu University Of Health And Welfare
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Kurokawa Masahiko
Department Of Virology Facutly Of Medicine Toyama Medical And Pharmaceutical University
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Hayashi Nakamasa
Department Of Neurosurgery Faculty Of Medicine University Of Toyama
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Hayashi Nakamasa
Department Of Neurosurgery Aomori Prefectural Central Hospital
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Hirashima Yutaka
Departments Of Neurosurgery Toyama Medical And Pharmaceutical University
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Kurimoto Masanori
Department Of Neurosurgery Faculty Of Medicine University Of Toyama
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Endo Shunro
Department Of Neurosurgery Faculty Of Medicine University Of Toyama
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Kurimoto Masanori
Department Of Neurosurgery Toyama Medical And Pharmaceutical University
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Origasa Hideki
Division Of Biostatistics And Clinical Epidemiology University Of Toyama Graduate School Of Medicine
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Kurimoto Masanori
Department Of Bioproduction Faculty Of Agriculture Yamagata University
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Hirashima Yutaka
Department Of Neurosurgery Toyama Medical And Pharmaceutical University
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Umemura Kimiko
Department Of Neurosurgery Faculty Of Medicine University Of Toyama
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Hirashima Yutaka
Department of Materials Science, Toyohashi University of Technology
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