NGHIÊN CỨU ĐẶC ĐIỂM LÂM SÀNG VÀ HÌNH ẢNH HỌC Ở BỆNH NHÂN CHẢY MÁU DƯỚI NHỆN DO VỠ PHÌNH ĐỘNG MẠCH NÃO

Abstract

Purpose: To describe the clinical and imaging characteristics of patients with subarachnoid hemorrhage due to ruptured aneurysms cerebral vessel. Design: Retrospective study. Methods: Study on 200 medical records of subarachnoid hemorrhage due to ruptured aneurysms cerebral vessel patients admitted to the Stroke Center and the Department of Neurosurgery from August 2023 to August 2024. Main findings: Of these patients (mean age 59; 54,5% women), previous hypertension was common disease (46.5%). The most common initial symptom was headache, accounting for 88.5%. At admission, the most common focal-neurological sign was stiff neck, accounting for 50.5%, and the most common location of the aneurysm was in the anterior cerebral circulation, accounting for 81.5%. Regarding the severity of the disease, 59% of patients were grade I of WFNS, and 69.6% of them had good outcomes. Arccording to the Hunt & Hess scale, grade II accounted for the majority, with 54.5%, and 69.3% of patients had good outcomes. Conclusion and recommendations: the coordination between clinical and imaging diagnostics is necessary to promptly detect complications following subarachnoid hemorrhage due to ruptured aneurysms cerebral vessel.