Journal Article10.1212/WNL.30.10.1034
The unchanging pattern of subarachnoid hemorrhage in a community
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TL;DR: Proved rebleeding occurred within 10 days of the first SAH in 20% of patients who survived until hospital admission, and survival after SAH depended on clinical grade, time after onset of SAH, and presence of intracerebral hematoma.
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Abstract: The average annual incidence of subarachnoid hemorrhage (SAH) from aneurysm rupture in Rochester, Minnesota, has remained remarkably constant at about 11 per 100,000 population. Age-specific incidence increased with age. Survival after SAH depended on: (1) clinical grade, (2) time after onset of SAH, and (3) presence of intracerebral hematoma. Among those who survived to receive medical attention, 48% were clinical grade 1 or 2, 20% were grade 3, and 32% were grade 4 or 5. Proved rebleeding occurred within 10 days of the first SAH in 20% of patients who survived until hospital admission.
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Citations
European Stroke Organization Guidelines for the Management of Intracranial Aneurysms and Subarachnoid Haemorrhage
Thorsten Steiner,Seppo Juvela,Andreas Unterberg,Carla S. Jung,Michael Forsting,Gabriel J.E. Rinkel +5 more
TL;DR: Ruptured intracranial aneurysm with a high rate of subsequent complications is a serious disease needing prompt treatment in centres having high quality of experience of treatment for these patients, and practical, evidence-based advice is provided for the management of patients with intrac Cranium with or without rupture.
The International Cooperative Study on the Timing of Aneurysm Surgery. Part 1 Overall management results
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Case-Fatality Rates and Functional Outcome After Subarachnoid Hemorrhage A Systematic Review
TL;DR: The case-fatality rate after subarachnoid hemorrhage has decreased during the last three decades, and a plausible explanation for this decrease is the improved management of patients with subaracheal hemorrhage.
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The incidence and lifetime prevalence of neurological disorders in a prospective community-based study in the UK
TL;DR: This is the first study of the incidence and lifetime prevalence of neurological disorders in recent times and it is found that these disorders give rise to significant morbidity in the community.
Prevalence of epilepsy in Rochester, Minnesota: 1940-1980.
TL;DR: The prevalence of epilepsy in Rochester, Minnesota has been determined for a specific date in each of 5 decennial census years since 1940, and was highest in the oldest age groups after 1950.
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TL;DR: A major decline in the incidence of stroke occurred in the population of Rochester, Minnesota, during the period 1945 to 1974, and the reduction in rates was more pronounced in the elderly.
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TL;DR: There was a steady decrease in the average annual age‐adjusted incidence rate for PIH in each succeeding 8‐year interval since 1945, and the frequency and severity of prehemorrhage hypertension also varied inversely with age in the population with PIH.
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