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Table of Contents    
CORRESPONDENCE
Year : 2016  |  Volume : 64  |  Issue : 6  |  Page : 1389-1390

Author's reply: Correlation of volume of hemorrhage in aneurysmal subarachnoid hemorrhage with overall outcome


Department of Neurosurgery, The First Hospital of Hebei Medical University, No. 89 Donggang Road, Shijiazhuang - 050031, China

Date of Web Publication11-Nov-2016

Correspondence Address:
Di Zhao
Department of Neurosurgery, The First Hospital of Hebei Medical University, No. 89 Donggang Road, Shijiazhuang - 050031
China
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0028-3886.193760

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How to cite this article:
Zhao D. Author's reply: Correlation of volume of hemorrhage in aneurysmal subarachnoid hemorrhage with overall outcome. Neurol India 2016;64:1389-90

How to cite this URL:
Zhao D. Author's reply: Correlation of volume of hemorrhage in aneurysmal subarachnoid hemorrhage with overall outcome. Neurol India [serial online] 2016 [cited 2019 Nov 21];64:1389-90. Available from: http://www.neurologyindia.com/text.asp?2016/64/6/1389/193760


Sir,

Thank you for sending me this commenatry to our article.[1]

In this letter, it is pointed out that “In the present article, the authors have tried to enumerate the risk factors associated with the volume of hemorrhage in patients with aneurysmal subarachnoid hemorrhage.[1] One of the significant prognostic factors was the pre-diastolic blood pressure, and the authors were able to correlate a preadmission high diastolic blood pressure with a greater hemorrhage volume. This study, which was a retrospective analysis of 155 patients admitted between September 2013 and February 2015, would have been more useful if it had correlated the predisposing factors and hemorrhage volume with the overall outcome.”

While conducting the study, we found that following aneurysmal subarachnoid hemorrhage (SAH), different patients had different volumes of blood in the basal cistern, and that this volume was unpredictable. For example, a patient with a small aneurysm (diameter of 3–4 mm) may suffer from a SAH with the clinical status being between modified Fisher grade II to grade V. A patient with a large aneurysm (diameter of >15 mm) may also suffer from a SAH with the clinical status of the patient being between modified Fisher grade II and grade V. As is well-known, the higher the Fisher grade, the worse is the prognosis. Our team decided to design a research protocol to determine the relationship between the volume of SAH, risk factors involved, and overall outcome of patients. If we are able to determine and control the risk factors that determine the volume of SAH in the basal cisterns, we will be in a better position to help patients with aneurysmal SAH achieve a better outcome.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

 
  References Top

1.
Liu J, Zhao D, Li H, Lu Y, Wu G, Hou K, et al. Risk factors of the volume of hemorrhage in aneurysmal subarachnoid hemorrhage. Neurol India 2016;64:686-91.  Back to cited text no. 1
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