better-grade patients . Poor-grade patients generally have more blood on CT and are therefore more prone to developing worse vasospasm. Early clipping in this situation allows aggressive hypervolaemic hypertensive treatment. Another argument for early surgery is that transluminal angioplasty for the treatment of refractory vasospasm can be employed more safely.
Age of the patient tends to be inversely related to favorable outcome, particularly in those aged 60 years or over . For this reason, elderly patients also tend to be treated more conservatively. When feasible, however, early surgery in the elderly is reasonable because they do not fare worse with early surgery , the re-bleed rate increases with age, they are more likely to suffer IVH or ICH, both of which may be amenable to early surgery, and they often have decreased cerebrovascular reserve and may therefore be more prone to DID. Elderly patients treated conservatively have a mortality of 50% and aggressive management, including surgery, remains their best chance of returning to an independent existence.
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The term vaginitis is one that is applied to any inflammation or infection of the vagina, and there are many different conditions that are categorized together under this ‘broad’ heading, including bacterial vaginosis, trichomoniasis and non-infectious vaginitis.