Abstract
Of 178 patients with verified subarachnoid hemorrhage (SAH) seen at Tokyo Metropolitan Fuchu Hospital from 1984 to 1987, 144 cases were admitted within three days after the last bleeding. Patients were graded on arrival on the Hunt scale, and their condition at discharge was evaluated on the Glasgow Outcome Scale (GOS). Except for vertebro-basilar aneurysms we have operated as earlier as possible especially on patients whose admission grade was poor. As a result, of 32 Grade 4 patients, all but two were operated on and their mortality rate was 49%. But of 15 patients whose admission grade was 5, eight cases of complicating intracerebral hematoma were operated on and only one patient survived. Seven other patients, who were not operated on, died.
To determine which patients might expect a fair outcome, computed tomographic (CT) findings are of great prognostic value. In this paper, we proposed a certain type of CT finding and discussed its correlation with the clinical courses.
