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Topic: Hunt and Hess scale


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In the News (Fri 17 Feb 12)

  
 Bioline International Official Site (site up-dated regularly)
The intracerebral hematomas were more frequent for the aneurysms of the middle cerebral artery (16 cases69.5%) followed by the aneurysm on the anterior communication artery (five cases-21.7%) whilst they were rare for the intracranial aneurisms of the internal carotid artery and bifurcation (2 cases-8.6%).
It is generally agreed that the surgical risk in aneurism surgery is strictly related to the patients condition as well as to other factor as age, location of the aneurysm, hypertension, diabetes, arteriosclerosis, chronic pulmonary disease.
HUNT W.E., HESS R.M. Surgical risk as related to time of intervention in the repair of intracranial aneurisms.
www.bioline.org.br /request?ns98004   (1869 words)

  
 [No title]
The following data has been analyzed: age, sex, clinical condition expressed in Hunt-Hess scale and level of consciousness in GCS scale on admission, presence of arterial hypertension, volume of haematoma, degree of ventricular involvement in Graeb's scale, presence of hydrocephalus, oedema and compression of the basal cisterns, and midline displacement.
15 (13.6%) patients were classified as 1st grade in GOS scale, 19 (17.3%) - as 2nd, 14 (12.7%) - as 3rd, 3 (2.7%) - as 4th, 59 (53.6%) - as 5th.
The predictors of poor outcome appeared to be: advanced age, IV and V group in Hunt-Hess classification, II, III, IV group in Graeb's scale, midline shift more than 5 mm., volume of the haematoma more than 50 ml., high blood pressure and advanced age.
www.elsevier.com /cdweb/journals/03038467/articles/99/1001/S030384679781524.abstract.en   (202 words)

  
 Stroke - Facts, Information, and Encyclopedia Reference article
Other immediate strategies to protect the brain during stroke include ensuring that blood sugar is as normal as possible (such as commencement of an insulin sliding scale in known diabetics), and that the stroke patient is receiving adequate oxygen and intravenous fluids.
The patient may be positioned so that his or her head is flat on the stretcher, rather than sitting up, since studies have shown that this increases blood flow to the brain.
Strategies to protect the brain during this type of stroke include blood sugar and blood pressure control, adequate oxygen and intravenous fluids, detection and treatment of the cause of bleeding, and constant monitoring (e.g.
www.startsurfing.com /encyclopedia/s/t/r/Stroke.html   (3337 words)

  
 Cerebral aneurysm - Wikipedia, the free encyclopedia
The risk of short term re-rupture increases dramatically after an aneurysm has bled, though after approximately 6 weeks the risk returns to baseline.
In outlining symptoms of ruptured cerebral aneurysm, it is useful to make use of the Hunt and Hess scale of subarachnoid hemorrhage severity:
It is less useful prognostically than the Hunt-Hess Scale.
en.wikipedia.org /wiki/Cerebral_aneurysm   (1027 words)

  
 [No title]   (Site not responding. Last check: 2007-10-23)
The most widely used clinical method for grading the clinical severity of SAH is the Hunt and Hess scale.
Poor neurologic condition of patient, ie, Hunt and Hess grade >4, (This is controversial; some say the risk of rebleeding and its mortality rate argues for early surgery even in patients with a high grade.)
Hunt WE, Hess RM: Risks and benefits of screening for intracranial aneurysms in first-degree relatives of patients with sporadic subarachnoid hemorrhage.
www.medceu.com /course-no-test.cfm?CID=1290   (8220 words)

  
 Subarachnoid hemorrhage SAH
An MRA (Magnetic Resonance Angiogram) is the same non-invasive study, except it is also an angiogram, which means it also examines the blood vessels, as well as the structures of the brain.
In addition to radiological tests, the overall condition of the patient is assessed using the Hunt-Hess scale.
The Hunt-Hess scale grades the severity of the subarachnoid hemorrhage.
www.mayfieldclinic.com /PE-SAH.HTM   (1403 words)

  
 Anatomic-Clinical Substantiation of the Contralateral Pterional Approach in Surgery of Aneurysms of the Willis Circle ...   (Site not responding. Last check: 2007-10-23)
A state severity, estimated before an operation on the basis of Hunt-Hess Scale, was as follows: the I degree - 8 patients, the II degree - 18 patients, the III degree - 7 patients and the IV degree - 1 patient.
It was caused by vascular spasm and cerebral ischemia.
Outcomes of surgical treatment were as follows (Glasgow Coma Scale): the I and II degrees were watched in 2 cases; 4 patients died.
www.neuro.neva.ru /English/Issues/Articles_1_2002/tkachev.htm   (4415 words)

  
 (Stroke-08) How is the Cause of Stroke Determined?
One test that helps doctors judge the severity of a stroke is the standardized NIH Stroke Scale, developed by the NINDS.
Health care professionals use the NIH Stroke Scale to measure a patient's neurological deficits by asking the patient to answer questions and to perform several physical and mental tests.
Other scales include the Glasgow Coma Scale, the Hunt and Hess Scale, the Modified Rankin Scale, and the Barthel Index.
www.opmedical.com /CustomPage.asp?guidCustomContentID={6941134B-7236-4D9E-9294-BFE5B4286A80}   (149 words)

  
 If You Think You Have A Brain Aneurism, What Symptoms Should You Look For?
The scale divides patients into five categories determined by the symptoms each is experiencing at the time of observation.
In other words, the Hunt-Hess scale helps to quantify aneurism rupture severity based on the symptoms experienced by the patient.
The Hunt-Hess scale may be helpful in predicting mortality rates but it doesn’t help us so much when we are sitting at home with a persistent headache wondering if we have an aneurism.
www.optimal-heart-health.com /brain-aneurism-symptoms.html   (535 words)

  
 Successful Embolization of Ruptured Aneurysm of the Pericallous Artery with Trufill DCS Coils in an Acute Period: A ...   (Site not responding. Last check: 2007-10-23)
Total and subtotal exclusion of aneurysms from blood circulation was achieved in 11 and 1 patients respectively.
Female patient B., aged 48, was admitted to the hospital on the 8th day after verified subarachnoid hemorrhage.
She was in a state of moderate severity (stage II according to Hunt-Hess Scale) and complained of headache.
www.neuro.neva.ru /English/Issues/Articles_1_2005/trufill.htm   (668 words)

  
 News & PR - Cerebral Anuerysms
Married and the father of three boys, Grahm explained how aneurysms are rated.
He said the Hunt and Hess Scale for Subarachnoid Hemorrhage (bleeding in the brain) has been the model since the 1960s.
The grading goes from Grade 0 with no bleeding to Grade 5 which is a deep coma.
www.tylerneuro.com /news_beating.htm   (1160 words)

  
 Reviews in Neurosurgery Vol 1, No 3   (Site not responding. Last check: 2007-10-23)
Since Botterell in 1956 and later Hunt and Hess in 1968 presented a scheme for preoperative grading of subarachnoid hemorrhage (SAH) patients, it became clear that a poor preoperative clinical condition is related to increased mortality and morbidity.
The criteria used to decide which poor-grade patients with SAH are irreparably brain-damaged and which autoregulation disorders are irreversible are not clear.
Patients were followed for a minimum of 6 months and their outcomes categorized using a four-tiered scale: 1) independent and working, 2) impaired but independent, 3) severely impaired and dependent, and 4) dead.
www.wfns.org /principal_reviews7_2.html   (5487 words)

  
 Endovascular Treatment of Hunt and Hess Grade IV and V Aneuryms -- Bracard et al. 23 (6): 953 -- American Journal of ...
Endovascular Treatment of Hunt and Hess Grade IV and V Aneuryms -- Bracard et al.
Hunt and Hess grade IV and V aneurysms.
Scale score of 1 or 2) (62% of the 56 patients with grade IV and 25% of the 24 patients with grade V aneurysms), seven (8.75%)
www.ajnr.org /cgi/content/full/23/6/953   (3189 words)

  
 Diabetes Monitor - about stroke   (Site not responding. Last check: 2007-10-23)
One test that helps doctors judge the severity of a stroke is the standardized NIH Stroke Scale, developed by the National Institute of Neurological Disorders and Stroke at the National Institutes of Health, or NIH.
The standardized NIH Stroke Scale is one test that helps doctors judge the severity of a stroke.
The most commonly used imaging procedure is the computed tomography or CT scan, also known as a CAT scan.
www.diabetesmonitor.com /stroke.htm   (8305 words)

  
 Product Categories
Laminated 3¾" x 5 ½" rating scale fits easily into a pocket while the examination forms help document spasticity in your patients.
Three-fold, laminated 3½" x 8½" rating scale helps diagnose the severity of cervical dystonia by using three different scale evaluations: the Torticollis Severity Scale, the Disability Scale and the Pain Scale.
This 14-plate exam for adults is the most widely used standard of Color Vision Screening in a book form.
www.aan.com /storefront/Practice_Resources_C2.cfm?Page=1   (330 words)

  
 Nimotop(R): About SAH: Classification of SAH
The Hunt and Hess scale is commonly used to estimate the surgical risk of the SAH patient.
The Glasgow Outcome Scale sometimes is used to assess the outcomes of patients in Hunt and Hess Grades IV and V. Its five categories are good recovery, moderate disability (disabled but independent), severe disability (conscious but disabled), persistent vegetative state, and death.
Hunt And Hess Scale For Grading SAH Grade Neurologic Status
www.nimotopusa.com /about/classification.html   (318 words)

  
 Neurobehavioural disturbances, rehabilitation outcome, and lesion site in patients after rupture and repair of anterior ...
The mean age of the patients (18 women and 12 men) was 54.3 (range: 37 to 72)years.
was rated using the Hunt and Hess scale.
Vertical lines denote joined clusters whereas their corresponding positions on the distance scale at the top indicate the distances at which clusters were joined.
jnnp.bmjjournals.com /cgi/content/full/65/1/93   (3795 words)

  
 uhrad.com - Interventional Imaging Teaching Files   (Site not responding. Last check: 2007-10-23)
As the intracranial pressure rises, brainstem compression can occur leading to death.
The neurologic status of a SAH patient can be assessed by the Hunt-Hess grading scale.
The risk of rupture is substantial for a greater than 10 mm aneurysm versus a less than 3 mm aneurysm.
www.uhrad.com /intarc/int012.htm   (380 words)

  
 intensive care unit note
Neurologic: Enter a brief but informative report of the neurologic status of the patient.
You may want to add the Glasgow Coma Scale or the Hunt and Hess Scale (for subarachnoid hemorrhage).
In spinal cord injury patients, follow the "level" or sensory or motor loss and the status of reflexes.
members.tripod.com /lyser/note.htm   (1034 words)

  
 Aneurism: Know The Types, Risks, Preventive Measures And Treatments.
A large study was undertaken in an attempt to predict patient survival based on the type and severity of symptoms that occur in the event of a ruptured brain aneurism.
That study resulted in what is known as the Hunt-Hess Scale.
To learn more about brain aneurism symptoms and the Hunt-Hess Scale please click here.
www.optimal-heart-health.com /aneurism.html   (2195 words)

  
 Endovascular Treatment of Hunt and Hess Grade IV and V Aneurysms -- van Loon and Wilms 24 (4): 778 -- American Journal ...
Endovascular Treatment of Hunt and Hess Grade IV and V Aneurysms -- van Loon and Wilms 24 (4): 778 -- American Journal of Neuroradiology
and the Hunt and Hess scale are not identical, there is a very
Endovascular treatment of Hunt and Hess grade IV and V aneurysms.
www.ajnr.org /cgi/content/full/24/4/778   (739 words)

  
 Diagnosis
They will obtain basic vital information such as blood pressure and heart rate and begin a neurological examination.
One standardized way of reporting the neurological problems and the severity of a stroke is the standardized National Institutes of Health (NIH) Stroke Scale, developed by the National Institute of Neurological Disorders and Stroke (NINDS).
Other scales include the Glasgow Coma Scale (usually used for strokes with bleeding), the Hunt and Hess Scale, the Modified Rankin Scale and the Barthel Index.
www.healthywomen.org /healthtopics/stroke/diagnosis/q/L2/76/L3/1.0000/L1/3   (1096 words)

  
 Anesthesia and Cerebral Aneurysms Part II
The Hunt and Hess scale was also modified including the 0 grade, which is the one related to patients with aneurysm and no SAH.
Clinical Grades according to the Hunt and Hess
Assessment of outcome after severe brain damage: a practical scale.
www.uam.es /departamentos/medicina/anesnet/journals/ija/vol2n2/articles/aneurysm.htm   (3960 words)

  
 Records International Catalogue August 1998
Both use Avsholomov's personal, oriental-sounding scales but whereas the former retains an identifiably American celebratory formality, the latter makes use of a richly enhanced percussion section to underline its exotic nature (its first reviewer, in the New York Herald-Tribune, said he "expected Fu Manchu to appear any minute").
GUUS JANSSEN (b.1951): Streepjes (2nd String Quartet), Voetnoot for Solo Piccolo, Veranderingen for 2 Pianos, Temet for Flute, Violin, Cello and Harp, Octet for Winds, Klotz for Violin and Ensemble.
The aptly aphoristic Haiku, with their subtle inflections of the Orient due to the composer's use of unfamiliar modes and scales (and yet, as in all Stevenson's music, the language is universal), encapsulate profundity in brevity, yet another facet of this unique composer's communicative achievement.
www.recordsinternational.com /RICatalogAug98.html   (10383 words)

  
 [No title]
French Cooperative GBS Study – Functional Testing Scale 8.
Hoehn and Yahr Parkinson’s Disease Disability Scale 13.
National Institute of Health Stroke Scale (NIHSS) 23.
www.harcourt-international.com /catalogue/titleprint.cfm?ISBN=0750674407   (189 words)

  
 Stroke: Hope Through Research
Part 2 was designed to confirm the long-term benefit of the drug.
In both parts of the study, there was a dramatic improvement at 3 months in those patients who received t-PA. The investigators demonstrated that the number of patients with complete or almost complete recovery was increased by 30% or more as measured by four different medical outcome scales.
For every 100 patients receiving t-PA, at least 11 more had an excellent recovery compared to the group that did not receive t-PA. The overall odds in favor of the t-PA-treated group were 1.7 times greater than the placebo group.
www.medhelp.org /NIHlib/GF-370.html   (16750 words)

  
 The Stroke Information Directory | Testing Primers
Within its section for physicians, the Group offers a multimedia TCD presentation to explain the principle behind this ultrasonographic imaging modality and to describe several techniques--such as those that may be applied in the investigation of carotid disease, arteriovenous malformations, and cardiac shunts.
Among the linked references are those pertaining to the Cincinnati Prehospital Stroke Scale, Dallas Stroke Council Stroke Evaluation Sheet, Miami Emergency Neurologic Deficit Prehospital Checklist, Barthel Index, Glasgow Outcome Scale, Hunt and Hess Classification of Subarachnoid Hemorrhage, and Modified Rankin Scale.
Aids include the Stroke Impact Scale (SIS), which is designed to assess quality of life after stroke; and the Stroke Toolbox, in which scores from the SIS and other scales may be recorded to track clients' responses to treatment.
www.stroke-info.com /testing_primers.htm   (1262 words)

  
 Part 7: The Era of Reperfusion : Section 2: Acute Stroke -- 102 (Supplement 1): 204 -- Circulation   (Site not responding. Last check: 2007-10-23)
Measurements of acute cerebral infarction: a clinical examination scale.
Underlying structure of the National Institutes of Health Stroke Scale: results of a factor analysis.
Progression in acute stroke: value of the initial NIH Stroke Scale score on patient stratification in future trials.
circ.ahajournals.org /cgi/content/full/102/suppl_1/I-204   (5386 words)

  
 Anesthesia For The Surgery Of Intracranial Aneurysms
) and the modification made be Hunt and Hess (table 2) (
Report of worold Federation of Neurological Surgeons Committee on a universal subarachnoid hemorrhage grading scale.
Jennett B, Bond M. Assessment of outcome after severe brain damage: a practical scale.
www.ispub.com /ostia/index.php?xmlFilePath=journals/ija/vol2n2/aneurysm.xml   (4011 words)

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