الفهرس | Only 14 pages are availabe for public view |
Abstract Subarachnoid hemorrhage is bleeding into the subarachnoid space, the area between the arachnoid membrane and the pia mater surrounding the brain. Circle of Willis with the most common locations of ruptured aneurysms, in 85 percent of cases of spontaneous SAH. In 15–20 percent of cases of spontaneous SAH, no aneurysm is detected on the first angiogram. SAH is often associated with a poor outcome. Factors that carry a worse prognosis during the hospital stay include occurrence of delayed ischemia resulting from vasospasm, development of intracerebral hematoma or intraventricular hemorrhage and presence of fever. Neurocognitive symptoms, fatigue, mood disturbances, and other related symptoms are common sequelae. Even in those who have made good neurological recovery. This work had studied variations of neuropsychiatric complications in different subarachnoid hemorrhage presentations & its relation to degree of hemorrhage, forty patients of spontaneous subarachnoid hemorrhage diagnosed by CT brain are examined and investigated at onset and after one month, the patients divided according to MRA and CT angiography into two groups (aneurysmal and non-aneurysmal) sociodemographic data, incidence of complications are compared between the two groups using CT follow up to diagnose rebleeding, symptomatic vasospasm &hydrocephalus, EEG to record abnormal brain activity, Wechseler memory scale to detect cognitive impairment, Beck scale to diagnose depression, modified Rankin scale for disability & Fisher scale for estimation of the degree of hemorrhage, study complications in relation to degree of hemorrhage. The results showed that : •Age & vascular risk factors (hypertention & smoking) are significantly higher with non-aneurysmal subarachnoid hemorrhage. •Subacute hydrocephalus was significantly correlated to degree of hemorrhage. •Attention was significantly affected in aneurysmal than nonaneurysmal group. •Cognitive impairment, depression & disability was significantly higher with SAH fisher grade 3 than grade 2. •Disability & depression was significantly higher in patients with vasospasm & hydrocephalus •Cognitive impairment was significantly higher in patients with subacute hydrocephalus & lower Glasgow coma scale. |