{"id":181,"date":"2002-11-19T16:55:11","date_gmt":"2002-11-19T21:55:11","guid":{"rendered":"http:\/\/blogs.law.harvard.edu\/neurovista\/2002\/11\/19\/mgh-aneurysm-grading-scale\/"},"modified":"2007-02-09T22:38:34","modified_gmt":"2007-02-10T03:38:34","slug":"mgh-aneurysm-grading-scale","status":"publish","type":"post","link":"https:\/\/archive.blogs.harvard.edu\/neurovista\/2002\/11\/19\/mgh-aneurysm-grading-scale\/","title":{"rendered":"MGH Aneurysm Grading Scale"},"content":{"rendered":"<p>The MGH aneurysm grade is based on 5 admission factors in a patient with an intracranial aneurysm.\u00a0 One point is given for each of the following factors:<\/p>\n<ul>\n<li>Age&gt;50<\/li>\n<li>Size&gt;10 mm<\/li>\n<li>Fisher Score of 3 or 4\u00a0 (dense SAH or ICH)<\/li>\n<li>Hunt-Hess Score\u00a0of 4 or 5 (patient is comatose)<\/li>\n<li>Giant Posterior Circulation lesion<\/li>\n<\/ul>\n<p>For example, a 70 year old patient with an unruptured 13 mm anterior communicating artery aneurysm would have a score of 2 with a 20% chance of major disability according to the scale.<\/p>\n<p>A 37 year old with a ruptured 6 mm PICA aneurysm with a Hunt-Hess score of\u00a01 and Fisher score of 3 would obtain a score would have an MGH score of 1 with an expected very good outcome.<\/p>\n<p>A 54 year old with an unruptured 5 mm posterior communicating aneurysm would\u00a0have an MGH\u00a0score of 1 with an expected excellent outcome.<\/p>\n<p>Development of the grading system is described <a href=\"http:\/\/blogs.law.harvard.edu\/neurovista\/2002\/11\/19\/mgh-grade-for-surgical-treatment-of-cerebral-aneurysms\/\">here <\/a>and the PubMed citation is <a href=\"http:\/\/www.ncbi.nlm.nih.gov\/entrez\/query.fcgi?cmd=Retrieve&amp;db=PubMed&amp;list_uids=9588539&amp;dopt=Abstract\">here<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The MGH aneurysm grade is based on 5 admission factors in a patient with an intracranial aneurysm.\u00a0 One point is given for each of the following factors: Age&gt;50 Size&gt;10 mm Fisher Score of 3 or 4\u00a0 (dense SAH or ICH) Hunt-Hess Score\u00a0of 4 or 5 (patient is comatose) Giant Posterior Circulation lesion For example, a [&hellip;]<\/p>\n","protected":false},"author":717,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-181","post","type-post","status-publish","format-standard","hentry"],"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/archive.blogs.harvard.edu\/neurovista\/wp-json\/wp\/v2\/posts\/181","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/archive.blogs.harvard.edu\/neurovista\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/archive.blogs.harvard.edu\/neurovista\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/archive.blogs.harvard.edu\/neurovista\/wp-json\/wp\/v2\/users\/717"}],"replies":[{"embeddable":true,"href":"https:\/\/archive.blogs.harvard.edu\/neurovista\/wp-json\/wp\/v2\/comments?post=181"}],"version-history":[{"count":0,"href":"https:\/\/archive.blogs.harvard.edu\/neurovista\/wp-json\/wp\/v2\/posts\/181\/revisions"}],"wp:attachment":[{"href":"https:\/\/archive.blogs.harvard.edu\/neurovista\/wp-json\/wp\/v2\/media?parent=181"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/archive.blogs.harvard.edu\/neurovista\/wp-json\/wp\/v2\/categories?post=181"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/archive.blogs.harvard.edu\/neurovista\/wp-json\/wp\/v2\/tags?post=181"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}