Volume 2, Issue 2, December 2018, Page: 43-49
Clinical Profile, Risk Factors and Outcome Assessment of Aneurysmal Subarachnoid Hemorrhage (SAH) Patients: A Multicenter Study in Bangladesh
Abhishek Chaturbedi, Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
ATM Mosharef Hossain, Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
SK Sader Hossain, Department of Neurosurgery, National Institute of Neuroscience and Hospital, Dhaka, Bangladesh
Zillur Rahman, Department of Neurosurgery, Dhaka Medical College and Hospital, Dhaka, Bangladesh
Kanak Kanti Barua, Department of Neurosurgery, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh
Received: Nov. 18, 2018;       Accepted: Dec. 5, 2018;       Published: Jan. 15, 2019
DOI: 10.11648/j.ijn.20180202.16      View  332      Downloads  63
Abstract
The vast majority of the literature on aneurysmal Subarachnoid Hemorrhage (aSAH) is flawed by the homogeneity of Caucasian population in western based studies. There is dearth of such studies in the Indian Subcontinent which has different demographics, cultural differences and health problems, which we aim to explore with this study. This cross-sectional observational study on aSAH patients was conducted in 3 different hospitals in Bangladesh from 2016 to 2017. A total of 45 adult patients who fulfilled the selection criteria were enrolled in this study. Patients with confirmed SAH from ruptured cerebral aneurysm by various cerebral angiographic studies were evaluated for clinical profile, risk factors and outcome assessment. Headache (100%) was the most common presenting symptom. We found female predominance (62%), the age group with maximum number of patients was 41-60 years (60%). The most common clinical risk factor was hypertension (55%). Half of the patients have size of the ruptured cerebral aneurysm dome <7 mm. The most common location of the aneurysm was anterior communicating artery (51%). Statistically significant association was found between the Glasgow Outcome Scale at the time of discharge from the hospital with the Fischer Grading of SAH (p value of 0.03). Our study comprising Bangladeshi patients with aSAH had certain similarities and dissimilarities with predominantly white based western studies. Half of the patients in our study had small sized aneurysm which are known to rarely rupture, should provoke new thoughts about their management among neurosurgeons.
Keywords
Subarachnoid Hemorrhage, Cerebral Aneurysm, Risk Factors
To cite this article
Abhishek Chaturbedi, ATM Mosharef Hossain, SK Sader Hossain, Zillur Rahman, Kanak Kanti Barua, Clinical Profile, Risk Factors and Outcome Assessment of Aneurysmal Subarachnoid Hemorrhage (SAH) Patients: A Multicenter Study in Bangladesh, International Journal of Neurosurgery. Vol. 2, No. 2, 2018, pp. 43-49. doi: 10.11648/j.ijn.20180202.16
Copyright
Copyright © 2018 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/) which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
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