ĐẶC ĐIỂM LÂM SÀNG VÀ CẬN LÂM SÀNG CỦA CHẢY MÁU DƯỚI NHỆN DO VỠ PHÌNH ĐỘNG MẠCH NÃO: NGHIÊN CỨU ĐA TRUNG TÂM

Abstract

Objectives: To describe the clinical and paraclinical characteristics (including imaging) of patients with subarachnoid hemorrhage (SAH) due to ruptured cerebral aneurysm. Subjects and Methods: A retrospective descriptive study of 330 patients at Bach Mai Hospital and Hanoi Medical University Hospital from January 2020 to August 2023. Results: The median age was 58 (IQR: 50-65), with 57.3% being female. The most common initial symptoms were headache (86.1%) and loss of consciousness (37.9%). Paraclinical findings showed an average white blood cell count of 14.75 ± 5.56 G/l and blood glucose of 8.42 ± 2.99 mmol/l. Imaging revealed that the most common aneurysm locations were the anterior communicating artery (32.7%), internal carotid artery (25.8%), and middle cerebral artery (21.8%). Intraventricular hemorrhage was present in 67.6% of cases, and Fisher grade IV accounted for 70.8%. Conclusion: SAH due to ruptured cerebral aneurysm is prevalent in middle-aged women, characterized by severe clinical presentation and diverse imaging findings, predominantly involving anterior circulation aneurysms.