Spontaneous Nonaneurysmal Subarachnoid Hemorrhage: Review of 75 Cases
Journal Title: Nepal Journal of Neuroscience - Year 2005, Vol 2, Issue 1
Abstract
The primary objective of this study was to describe the clinical, radiological, and transcranial Doppler (TCD) ultrasonography characteristics of patients with spontaneous, nonaneurysmal subarachnoid hemorrhage (SNSAH), and analyze their short- term outcome at discharge. The secondary objective was to determine their risk factors for the development of vasospasm. Seventy-five patients with SNSAH were analyzed in terms of clinical, radiological, and TCD parameters, as well as Glasgow Outcome Scale (GOS) at discharge. The patients were then divided into two groups based on whether or not they developed vasospasm by TCD ultrasonography. Twenty of 75 patients (26.7%) had vasospasm by TCD criteria. Age, sex, cigarette smoking, hypertension, clinical Hunt and Hess and World Federation of Neurological Surgeons (WFNS) grading, Fisher’s grade on computerized tomography (CT) scan, or discharge GOS score did not correlate with the development of vasospasm. Hydrocephalus, identified in 11 (14.7%) patients upon admission, was significantly more common in patients with vasospasm (p< 0.0001). Patients with vasospasm stayed in the hospital significantly longer than those without vasospasm (P<0.001). Vasospasm in SNSAH is more prevalent than previously thought. There is no statistical correlation between the incidence of vasospasm in patients with SNSAH and age, sex, smoking, hypertension, and different admission clinical and Fisher’s grades. However, the presence of hydrocephalus at admission correlated significantly with the development of vasospasm. Despite the high incidence of vasospasm, there is no difference in short-term clinical outcome at discharge between the patients with and without vasospasm.
Authors and Affiliations
Mohan R. Sharma, MS
Keywords
Related Articles
- EP ID EP382042
- DOI -
- Views 118
- Downloads 0
A Case of Pyogenic Spondylitis Treated by Multi-staged Surgery
Pyogenic spondylitis is an acute infencitious condition with rapid progession and worse clinical outcome if not detected in time. A 63-year-old female, presented with fever, middle-back pain and acutely progressing parap...
Hirayama Disease: A Rare Neurological Entity
muscular amyotrophy of distal upper limbs is a rare disease predominantly affecting the anterior horn cells of the cervical cord in young men. We report the diagnostic radiological findings of a case of Hirayama disease,...
Unusual Shunt Complications
No data
Tallest Nepalese Lady with Acromegaly: A Case Report
An 18 year-old girl from Dhorna-2, Siraha presented to the department of neurosurgery, National Neurosurgical Referral Centre, Bir hospital with features of gigantism and paraparesis grade 1/5. She was seven feet and thr...
A Giant Solitary Solid Hemangioblastoma: A Case Report and Review of The Literature
We present a case of solitary vascular tumor on posterior cranial fossa in a 15-year-old female who had a complaint of headache on/off for six months with associateddizziness,nausea, vomiting and vertigo. Well circumscri...