Non-traumatic non-aneurysmal subarachnoidhaemorrhage: Single institutional experience
Yıl: 2021 Cilt: 28 Sayı: 7 Sayfa Aralığı: 1411 - 1416 Metin Dili: İngilizce DOI: 10.5455/annalsmedres.2021.03.249 İndeks Tarihi: 07-11-2021
Non-traumatic non-aneurysmal subarachnoidhaemorrhage: Single institutional experience
Öz: AbstractAim: Despite the advanced diagnostic methods we use today, the rate of negative digital subtraction angiography (DSA) is 15% in patients diagnosed with subarachnoidal hemorrhage (SAH), and these types of hemorrhages are named as non-aneurysmal (NASAH). Various factors such as inadequate interpretation of the beginning angiography, vasospasm, thrombosis, intra-cerebral hematoma pressure may cause DSA to be negative. This study aims to determine the causes of bleeding in patients who were suffered from NASAH.Materials and Methods: The study evaluated 664 patients with SAH from 2010 to 2016. DSA was performed on these patients within the first 3 or 6 hours. Sixty-seven patients with DSA negative were included in the study group. The patients were divided into three groups as perimesencephalic subarachnoidal hemorrhage (PMSAH), non-perimesencephalic subarachnoidal hemorrhage (nPMSAH), CT negative subarachnoidal hemorrhage (CT negative SAH). These three groups were evaluated based on age, gender, Glascow coma scale (GCS), World Federation of Neurosurgical Societies (WFNS) grade, Hunt and Hess Classification and Fisher’s scale, hospitalization time duration, complications and computerized tomography (CT), and cervical and cranial MRI was performed on patients without correlation between DSA results if needed.Results: Of the 664 patients diagnosed with SAH, 67 (10.09%) had NASAH. Statistically significant differences were found between CT Negative SAH and PMSAH and CT Negative SAH and nPMSAH in terms of the variables of GCS during hospital admission and total duration of hospitalization. Statistically significant differences were found between CT Negative SAH and PMSAH and nPMSAH in terms of the variables of GCS during hospital discharge. There were statistically significant differences between the types in terms of WFNS Classification, Hunt and Hess Classification and Fisher’s Scala.Conclusion: We believe that this study will contribute to the literature about the necessity of performing additional radiologic imaging during clinical follow-up since belated diagnosis in patients with NASAH may increase mortality.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Diğer Erişim Türü: Erişime Açık
- 1. Flaherty ML, Haverbusch M, Kissela B, et al. Perimesencephalic subarachnoid hemorrhage: incidence, risk factors, and outcome. JJ Stroke Cerebrovasc Dis 2005;14:267-71.
- 2. Heit J, Pastena G, Nogueira R, et al. Cerebral angiography for evaluation of patients with CT angiogram-negative subarachnoid hemorrhage: an 11-year experience. AJNR Am J Neuroradiol 2016;37:297-304.
- 3. Hrishi AP, Sethuraman M. Cerebrospinal Fluid (CSF) Analysis and Interpretation in Neurocritical Care for Acute Neurological Conditions. Indian J Crit Care Med 2019;23:115-9.
- 4. Elhadi AM, Zabramski JM, Almefty KK, et al. Spontaneous subarachnoid hemorrhage of unknown origin: hospital course and long-term clinical and angiographic follow-up. J Neurosurg Pediatr 2015;122:663-70.
- 5. Akcakaya MO, Aydoseli A, Aras Y, et al. Clinical course of nontraumatic nonaneurysmal subarachnoid hemorrhage: A single institution experience over 10 years and review of the contemporary literature. Turk Neurosurg 2017;27:732-42.
- 6. Rinkel G, Wijdicks E, Vermeulen M, et al. Nonaneurysmal perimesencephalic subarachnoid hemorrhage: CT and MR patterns that differ from aneurysmal rupture. AJNR Am J Neuroradiol 1991;12:829-34.
- 7. Béguelin C, Seiler R. Subarachnoid hemorrhage with normal cerebral panangiography. Neurosurgery 1983;13:409-11.
- 8. Greebe P, Rinkel GlJ. Life expectancy after perimesencephalic subarachnoid hemorrhage. Stroke 2007;38:1222-4.
- 9. Walcott BP, Stapleton CJ, Koch MJ, et al. Diffuse patterns of nonaneurysmal subarachnoid hemorrhage originating from the Basal cisterns have predictable vasospasm rates similar to aneurysmal subarachnoid hemorrhage. J Stroke Cerebrovasc Dis 2015;24:795- 801.
- 10. Rinkel G, van Gijn J, Wijdicks E. Subarachnoid hemorrhage without detectable aneurysm. A review of the causes. Stroke 1993;24:1403-9.
- 11. Hijab A, Rushdi MA, Gomaa MM, et al., editors. Breast cancer classification in ultrasound images using transfer learning. 2019 Fifth International Conference on Advances in Biomedical Engineering (ICABME); 2019: IEEE.
- 12. Kong Y, Zhang JH, Qin X. Perimesencephalic subarachnoid hemorrhage: risk factors, clinical presentations, and outcome. Early Brain Injury or Cerebral Vasospasm: Springer 2011;197-201.
- 13. Bashir A, Mikkelsen R, Sørensen L, et al. Nonaneurysmal subarachnoid hemorrhage: when is a second angiography indicated? Neuroradiol J 2018;31:244-52.
- 14. Coelho LGBSA, Costa JMD, Silva EIPA. Nonaneurysmal spontaneous subarachnoid hemorrhage: perimesencephalic versus non-perimesencephalic. Rev Bras Ter Intensiva 2016;28:141.
- 15. Canneti B, Mosqueira AJ, Nombela F, et al. Spontaneous subarachnoid hemorrhage with negative angiography managed in a stroke unit: clinical and prognostic characteristics. J Stroke Cerebrovasc Dis 2015;24:2484-90.
- 16. Mohan M, Islim AI, Rasul FT, et al. Subarachnoid haemorrhage with negative initial neurovascular imaging: a systematic review and meta-analysis. Acta Neurochir 2019;161:2013-26.
- 17. Fang Y, Xu S, Lu J, et al. Validation and Comparison of Aneurysmal Subarachnoid Hemorrhage Grading Scales in Angiogram-Negative Subarachnoid Hemorrhage Patients. Biomed Res Int 2020;2020.
- 18. Morita K, Abe H, Takeuchi S, et al. Thrombosing aneurysm diagnosed with contrast-enhanced MR angiography. Acta Neurochir 2001;143:845.
- 19. Maslehaty H, Petridis AK, Barth H, et al. Diagnostic value of magnetic resonance imaging in perimesencephalic and nonperimesencephalic subarachnoid hemorrhage of unknown origin. J Neurosurg Pediatr 2011;114:1003-7.
- 20. Xu L, Fang Y, Shi X, et al. Management of spontaneous subarachnoid hemorrhage patients with negative initial digital subtraction angiogram findings: conservative or aggressive? BioMed Research International 2017;2017.
- 21. Dalyai R, Chalouhi N, Theofanis T, et al. Subarachnoid hemorrhage with negative initial catheter angiography: a review of 254 cases evaluating patient clinical outcome and efficacy of short-and long-term repeat angiography. Neurosurgery 2013;72:646-52.
- 22. Maslehaty H, Barth H, Petridis AK, et al. Special features of subarachnoid hemorrhage of unknown origin: a review of a series of 179 cases. Neurol Res 2012;34:91-7.
- 23. Hino A, Fujimoto M, Yamaki T, et al. Value of repeat angiography in patients with spontaneous subcortical hemorrhage. Stroke 1998;29:2517-21.
- 24. Cox TM, Andia DMC, Aisenberg G. Arteriovenous Malformation of the Cervical Spine Presenting as Subarachnoid Hemorrhage. Cureus 2020;12.
- 25. Germans MR, Coert BA, Majoie CB, et al. Yield of spinal imaging in nonaneurysmal, nonperimesencephalic subarachnoid hemorrhage. Neurology 2015;84:1337- 40.
| APA | PAŞAHAN R, TETİK B, GÜLDOĞAN E, DURAK M, YILDIRIM I (2021). Non-traumatic non-aneurysmal subarachnoidhaemorrhage: Single institutional experience. , 1411 - 1416. 10.5455/annalsmedres.2021.03.249 |
| Chicago | PAŞAHAN Ramazan,TETİK Bora,GÜLDOĞAN Emek,DURAK M. Akif,YILDIRIM I.Okan Non-traumatic non-aneurysmal subarachnoidhaemorrhage: Single institutional experience. (2021): 1411 - 1416. 10.5455/annalsmedres.2021.03.249 |
| MLA | PAŞAHAN Ramazan,TETİK Bora,GÜLDOĞAN Emek,DURAK M. Akif,YILDIRIM I.Okan Non-traumatic non-aneurysmal subarachnoidhaemorrhage: Single institutional experience. , 2021, ss.1411 - 1416. 10.5455/annalsmedres.2021.03.249 |
| AMA | PAŞAHAN R,TETİK B,GÜLDOĞAN E,DURAK M,YILDIRIM I Non-traumatic non-aneurysmal subarachnoidhaemorrhage: Single institutional experience. . 2021; 1411 - 1416. 10.5455/annalsmedres.2021.03.249 |
| Vancouver | PAŞAHAN R,TETİK B,GÜLDOĞAN E,DURAK M,YILDIRIM I Non-traumatic non-aneurysmal subarachnoidhaemorrhage: Single institutional experience. . 2021; 1411 - 1416. 10.5455/annalsmedres.2021.03.249 |
| IEEE | PAŞAHAN R,TETİK B,GÜLDOĞAN E,DURAK M,YILDIRIM I "Non-traumatic non-aneurysmal subarachnoidhaemorrhage: Single institutional experience." , ss.1411 - 1416, 2021. 10.5455/annalsmedres.2021.03.249 |
| ISNAD | PAŞAHAN, Ramazan vd. "Non-traumatic non-aneurysmal subarachnoidhaemorrhage: Single institutional experience". (2021), 1411-1416. https://doi.org/10.5455/annalsmedres.2021.03.249 |
| APA | PAŞAHAN R, TETİK B, GÜLDOĞAN E, DURAK M, YILDIRIM I (2021). Non-traumatic non-aneurysmal subarachnoidhaemorrhage: Single institutional experience. Annals of Medical Research, 28(7), 1411 - 1416. 10.5455/annalsmedres.2021.03.249 |
| Chicago | PAŞAHAN Ramazan,TETİK Bora,GÜLDOĞAN Emek,DURAK M. Akif,YILDIRIM I.Okan Non-traumatic non-aneurysmal subarachnoidhaemorrhage: Single institutional experience. Annals of Medical Research 28, no.7 (2021): 1411 - 1416. 10.5455/annalsmedres.2021.03.249 |
| MLA | PAŞAHAN Ramazan,TETİK Bora,GÜLDOĞAN Emek,DURAK M. Akif,YILDIRIM I.Okan Non-traumatic non-aneurysmal subarachnoidhaemorrhage: Single institutional experience. Annals of Medical Research, vol.28, no.7, 2021, ss.1411 - 1416. 10.5455/annalsmedres.2021.03.249 |
| AMA | PAŞAHAN R,TETİK B,GÜLDOĞAN E,DURAK M,YILDIRIM I Non-traumatic non-aneurysmal subarachnoidhaemorrhage: Single institutional experience. Annals of Medical Research. 2021; 28(7): 1411 - 1416. 10.5455/annalsmedres.2021.03.249 |
| Vancouver | PAŞAHAN R,TETİK B,GÜLDOĞAN E,DURAK M,YILDIRIM I Non-traumatic non-aneurysmal subarachnoidhaemorrhage: Single institutional experience. Annals of Medical Research. 2021; 28(7): 1411 - 1416. 10.5455/annalsmedres.2021.03.249 |
| IEEE | PAŞAHAN R,TETİK B,GÜLDOĞAN E,DURAK M,YILDIRIM I "Non-traumatic non-aneurysmal subarachnoidhaemorrhage: Single institutional experience." Annals of Medical Research, 28, ss.1411 - 1416, 2021. 10.5455/annalsmedres.2021.03.249 |
| ISNAD | PAŞAHAN, Ramazan vd. "Non-traumatic non-aneurysmal subarachnoidhaemorrhage: Single institutional experience". Annals of Medical Research 28/7 (2021), 1411-1416. https://doi.org/10.5455/annalsmedres.2021.03.249 |
