Clinical Analysis of Subarachnoid Haemorrhage of Unknown Aetiology (SAHUE).

Corresponding Author:
Dr. R. Srinivas,
M. Ch. Neurosurgery,
Assistant Professor,
SRIHER, Porur, Tamilnadu,
Chennai-600116, India.
E-mail: drsrinivas74@gmail.com

COPYRIGHT

Copyright © 2020 JEMDS. This is an open access article distributed under Creative Commons Attribution License [Attribution 4.0 International (CC BY 4.0)]

ABSTRACT

BACKGROUND

Spontaneous subarachnoid haemorrhage accounts for 15 cases per lakh population. There are few reports of patients with perimesencephalic haemorrhage and few reports with limited number of patients. Therefore, the aim of the present study was to investigate the clinical course and outcome in patients with SAH.

METHODS

In our study, we identified a total of 55 patients admitted to the Neurosurgery department of Sri Ramachandra Institute of Higher Study and Research with subarachnoid haemorrhage between 2018 and 2019. Medical records of all patients who underwent treatment for subarachnoid haemorrhage from July 2018 to April 2019 in the tertiary-care center were reviewed from a prospectively collected database. A detailed analysis was performed on potential predictors of post-operative complications, including age, gender, and type of admission.

RESULTS

Negative sub-arachnoid haemorrhage angiogram exhibited very mild prognosis than with aneurysmal sub-arachnoid haemorrhage. All patients had presence of blood either in perimesencephalic cisterns and in the lateral cisterns. The prognosis of patient varies based on the thickness of hematoma and people with hydrocephalus had poor prognosis.

CONCLUSIONS

Each patient with subarachnoid haemorrhage should be monitored as an individual case and to prevent death it is important to identify patients to reduce the aneurysms and modify the risk factors associated with.

KEY WORDS

Spontaneous Subarachnoid Haemorrhage, Clinical Outcome, Radiological Evaluation and Prediction.