Aneurysmal bleed in traumatic SAH: are we missing something serious?

Introduction and Objective: Spontaneous Subarachnoid hemorrhage (SAH) is usually due to aneurysm rupture (85%) however SAH is far common in traumatic brain injury (TBI) (60%). We did an audit to see proportion of our patients with TBI with SAH and their outcome Materials and Methods: We did a retr...

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Autores principales:	Suvechha Waiba, Archana Joshi, Karjome Lama, Bidur KC, Bikram Shakya, Amit Thapa
Formato:	article
Lenguaje:	EN
Publicado:	Society of Surgeons of Nepal 2016
Materias:	Introduction and Objective Spontaneous Subarachnoid hemorrhage (SAH) is usually due to aneurysm rupture (85%) however SAH is far common in traumatic brain injury (TBI) (60%). We did an audit to see proportion of our patients with TBI with SAH and their o Surgery RD1-811
Acceso en línea:	https://doaj.org/article/1e8c1332a9294a3e995ff38ce4493424
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spelling	oai:doaj.org-article:1e8c1332a9294a3e995ff38ce44934242021-12-05T19:16:37ZAneurysmal bleed in traumatic SAH: are we missing something serious?10.3126/jssn.v18i3.152961815-39842392-4772https://doaj.org/article/1e8c1332a9294a3e995ff38ce44934242016-07-01T00:00:00Zhttps://www.nepjol.info/index.php/JSSN/article/view/15296https://doaj.org/toc/1815-3984https://doaj.org/toc/2392-4772 Introduction and Objective: Spontaneous Subarachnoid hemorrhage (SAH) is usually due to aneurysm rupture (85%) however SAH is far common in traumatic brain injury (TBI) (60%). We did an audit to see proportion of our patients with TBI with SAH and their outcome Materials and Methods: We did a retrospective study of patients admitted with Department of neurological surgery since April 2012 till Jan 2016. We included all patients with traumatic SAH and subjected patients with significant cisternal bleed or history of dizziness or headache prior to fall or injury to brain CT angiography. Patient who could not be properly evaluated despite suspicion were excluded. Endpoints studied were outcome, hospital stay and morbidity. Results: 112 patients were studied of which 63 were males and mean age was 48.2 years. Total of 5 cases (4.5%) had intracranial aneurysm. Of these, 3 were PCOM aneurysm and 2 from ACOM. These were successfully clipped and no significant difference in hospital stay or morbidity was seen. Of the other followed up patients, none had recurrent bleed. We discuss our approach and limitations of this study. Conclusion: 5% patients with traumatic SAH had aneurysm. A high index of suspicion and early clipping of aneurysm in such cases is associated with good outcome. Suvechha WaibaArchana JoshiKarjome LamaBidur KCBikram ShakyaAmit ThapaSociety of Surgeons of NepalarticleIntroduction and ObjectiveSpontaneous Subarachnoid hemorrhage (SAH) is usually due to aneurysm rupture (85%) however SAH is far common in traumatic brain injury (TBI) (60%). We did an audit to see proportion of our patients with TBI with SAH and their oSurgeryRD1-811ENJournal of Society of Surgeons of Nepal, Vol 18, Iss 3 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	Introduction and Objective Spontaneous Subarachnoid hemorrhage (SAH) is usually due to aneurysm rupture (85%) however SAH is far common in traumatic brain injury (TBI) (60%). We did an audit to see proportion of our patients with TBI with SAH and their o Surgery RD1-811
spellingShingle	Introduction and Objective Spontaneous Subarachnoid hemorrhage (SAH) is usually due to aneurysm rupture (85%) however SAH is far common in traumatic brain injury (TBI) (60%). We did an audit to see proportion of our patients with TBI with SAH and their o Surgery RD1-811 Suvechha Waiba Archana Joshi Karjome Lama Bidur KC Bikram Shakya Amit Thapa Aneurysmal bleed in traumatic SAH: are we missing something serious?
description	Introduction and Objective: Spontaneous Subarachnoid hemorrhage (SAH) is usually due to aneurysm rupture (85%) however SAH is far common in traumatic brain injury (TBI) (60%). We did an audit to see proportion of our patients with TBI with SAH and their outcome Materials and Methods: We did a retrospective study of patients admitted with Department of neurological surgery since April 2012 till Jan 2016. We included all patients with traumatic SAH and subjected patients with significant cisternal bleed or history of dizziness or headache prior to fall or injury to brain CT angiography. Patient who could not be properly evaluated despite suspicion were excluded. Endpoints studied were outcome, hospital stay and morbidity. Results: 112 patients were studied of which 63 were males and mean age was 48.2 years. Total of 5 cases (4.5%) had intracranial aneurysm. Of these, 3 were PCOM aneurysm and 2 from ACOM. These were successfully clipped and no significant difference in hospital stay or morbidity was seen. Of the other followed up patients, none had recurrent bleed. We discuss our approach and limitations of this study. Conclusion: 5% patients with traumatic SAH had aneurysm. A high index of suspicion and early clipping of aneurysm in such cases is associated with good outcome.
format	article
author	Suvechha Waiba Archana Joshi Karjome Lama Bidur KC Bikram Shakya Amit Thapa
author_facet	Suvechha Waiba Archana Joshi Karjome Lama Bidur KC Bikram Shakya Amit Thapa
author_sort	Suvechha Waiba
title	Aneurysmal bleed in traumatic SAH: are we missing something serious?
title_short	Aneurysmal bleed in traumatic SAH: are we missing something serious?
title_full	Aneurysmal bleed in traumatic SAH: are we missing something serious?
title_fullStr	Aneurysmal bleed in traumatic SAH: are we missing something serious?
title_full_unstemmed	Aneurysmal bleed in traumatic SAH: are we missing something serious?
title_sort	aneurysmal bleed in traumatic sah: are we missing something serious?
publisher	Society of Surgeons of Nepal
publishDate	2016
url	https://doaj.org/article/1e8c1332a9294a3e995ff38ce4493424
work_keys_str_mv	AT suvechhawaiba aneurysmalbleedintraumaticsaharewemissingsomethingserious AT archanajoshi aneurysmalbleedintraumaticsaharewemissingsomethingserious AT karjomelama aneurysmalbleedintraumaticsaharewemissingsomethingserious AT bidurkc aneurysmalbleedintraumaticsaharewemissingsomethingserious AT bikramshakya aneurysmalbleedintraumaticsaharewemissingsomethingserious AT amitthapa aneurysmalbleedintraumaticsaharewemissingsomethingserious
_version_	1718371050270490624

Aneurysmal bleed in traumatic SAH: are we missing something serious?

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