May 1, 1995Neurology
Sudden death from aneurysmal subarachnoid hemorrhage
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Discussion
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Implication
Epidemiologic review clarifies sudden death features in patients with aneurysmal SAH, indicating unchanged rates over decades.
Key Points
- The aim is to clarify the clinical profile of sudden death due to aneurysmal SAH by reviewing epidemiological data.
- Retrospective review of medical records for patients diagnosed with aneurysmal SAH from 1960 to 1989
- Comparison of clinicopathologic features between patients who experienced sudden death and those who reached medical attention
- Identified a total of 113 patients, with 13 (12%) dying without medical attention
- Significantly higher frequency of posterior circulation aneurysms in sudden death group (38%) compared to those receiving medical attention (14%), p = 0.042
- Intraventricular hemorrhage present in 12 patients (92%) who experienced sudden death
- Acute pulmonary edema observed in 12 patients (92%) with sudden death
Cite This Study
Schievink et al. (1995) studied this question.