The Relationship Between the Amount of Radiological Bleeding and The Development of Vasospasm in Aneurysm Hemorrhage: A 100-Case Retrospective Study

Ömer Şahin; M.akif Bayar; Ayhan Tekiner; Cevdet Gökçek; Nurullah Edebali; Yavuz Erdem; Haydar Çelik; Mete Karatay

Makale detayları

The Relationship Between the Amount of Radiological Bleeding and The Development of Vasospasm in Aneurysm Hemorrhage: A 100-Case Retrospective Study

Yazarlar:

Ömer Şahin | M.akif Bayar | Ayhan Tekiner | Cevdet Gökçek | Nurullah Edebali | Yavuz Erdem | Haydar Çelik | Mete Karatay

Yayıncı:

Ordu University

Ana Başlıklar:

Clinical Sciences (Other)

Dergi:

Middle Black Sea Journal of Health Science Vol.11 Issue 2, pp.107-115

Belge Tipi:

Makale

Yayın Tarihi:

5/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001349539

pISSN:

2149-7796

Anahtar kelimeler:

Özet:

 Objective: Intracranial aneurysms are pathological dilations of the intracranial arterial wall. The rupture of an aneurysm and the subsequent hemorrhage into the subarachnoid, intraventricular, or subdural spaces constitute a significant clinical condition associated with high morbidity and mortality. Aneurysmal subarachnoid hemorrhage SAH can lead to various severe complications, one of the most critical being ischemia due to cerebral vasospasm. In this study, we aim to analyze the relationship between the amount of hemorrhage and vasospasm. Method: This study was conducted on patients admitted to the Neurosurgery Clinic of the Ministry of Health Ankara Training and Research Hospital with a diagnosis of spontaneous subarachnoid hemorrhage SAH. The diagnosis of SAH was established based on computed tomography CT imaging and lumbar puncture LP findings. To diagnose aneurysms, all patients underwent four-vessel cerebral digital subtraction angiography DSA. The CT images obtained at the time of admission were evaluated using the Fisher grading system. Additionally, angiographic vasospasm was assessed. For the statistical evaluation of the obtained results, the Z-test and chi-square X² test were used to analyze proportions. Results: The mean age of the patients was calculated as 49 years. The age distribution of the cases was as follows: 36 were in the 40-49 age group, 27 in the 50-59 age group, and 15 in the 60-69 age group. In terms of gender distribution, female predominance was observed, with 64 of the 100 cases being female and 36 male. According to the Fisher grading system, the highest incidence of subarachnoid hemorrhage on brain CT was observed in grade 3. The percentage of patients classified as Fisher grade 3 was 36, followed by 33 in grade 4, 23 in grade 2, and 8 in grade 1. Angiographic vasospasm was defined as a contrast-narrowing phenomenon in the main cerebral arteries, which could be either focal or, in some cases, diffuse. Clinical vasospasm was detected in 23 of cases, whereas angiographic vasospasm was identified in 59 of cases. The highest incidence of angiographic vasospasm was observed in Fisher grade 3, at a rate of 42.4. This was followed by 32.2 in grade 4, 18.6 in grade 2, and 6.8 in grade 1. The high incidence in Fisher grade 3 was found to be statistically significant p0.05. Conclusion: Our study highlights both the advantages and limitations of the Fisher grading system. A statistically significant relationship was found between Fisher grade 3 and cerebral vasospasm.

 Objective: Intracranial aneurysms are pathological dilations of the intracranial arterial wall. The rupture of an aneurysm and the subsequent hemorrhage into the subarachnoid, intraventricular, or subdural spaces constitute a significant clinical condition associated with high morbidity and mortality. Aneurysmal subarachnoid hemorrhage SAH can lead to various severe complications, one of the most critical being ischemia due to cerebral vasospasm. In this study, we aim to analyze the relationship between the amount of hemorrhage and vasospasm. Method: This study was conducted on patients admitted to the Neurosurgery Clinic of the Ministry of Health Ankara Training and Research Hospital with a diagnosis of spontaneous subarachnoid hemorrhage SAH. The diagnosis of SAH was established based on computed tomography CT imaging and lumbar puncture LP findings. To diagnose aneurysms, all patients underwent four-vessel cerebral digital subtraction angiography DSA. The CT images obtained at the time of admission were evaluated using the Fisher grading system. Additionally, angiographic vasospasm was assessed. For the statistical evaluation of the obtained results, the Z-test and chi-square X² test were used to analyze proportions. Results: The mean age of the patients was calculated as 49 years. The age distribution of the cases was as follows: 36 were in the 40-49 age group, 27 in the 50-59 age group, and 15 in the 60-69 age group. In terms of gender distribution, female predominance was observed, with 64 of the 100 cases being female and 36 male. According to the Fisher grading system, the highest incidence of subarachnoid hemorrhage on brain CT was observed in grade 3. The percentage of patients classified as Fisher grade 3 was 36, followed by 33 in grade 4, 23 in grade 2, and 8 in grade 1. Angiographic vasospasm was defined as a contrast-narrowing phenomenon in the main cerebral arteries, which could be either focal or, in some cases, diffuse. Clinical vasospasm was detected in 23 of cases, whereas angiographic vasospasm was identified in 59 of cases. The highest incidence of angiographic vasospasm was observed in Fisher grade 3, at a rate of 42.4. This was followed by 32.2 in grade 4, 18.6 in grade 2, and 6.8 in grade 1. The high incidence in Fisher grade 3 was found to be statistically significant p0.05. Conclusion: Our study highlights both the advantages and limitations of the Fisher grading system. A statistically significant relationship was found between Fisher grade 3 and cerebral vasospasm.

 Objective: Intracranial aneurysms are pathological dilations of the intracranial arterial wall. The rupture of an aneurysm and the subsequent hemorrhage into the subarachnoid, intraventricular, or subdural spaces constitute a significant clinical condition associated with high morbidity and mortality. Aneurysmal subarachnoid hemorrhage SAH can lead to various severe complications, one of the most critical being ischemia due to cerebral vasospasm. In this study, we aim to analyze the relationship between the amount of hemorrhage and vasospasm. Method: This study was conducted on patients admitted to the Neurosurgery Clinic of the Ministry of Health Ankara Training and Research Hospital with a diagnosis of spontaneous subarachnoid hemorrhage SAH. The diagnosis of SAH was established based on computed tomography CT imaging and lumbar puncture LP findings. To diagnose aneurysms, all patients underwent four-vessel cerebral digital subtraction angiography DSA. The CT images obtained at the time of admission were evaluated using the Fisher grading system. Additionally, angiographic vasospasm was assessed. For the statistical evaluation of the obtained results, the Z-test and chi-square X² test were used to analyze proportions. Results: The mean age of the patients was calculated as 49 years. The age distribution of the cases was as follows: 36 were in the 40-49 age group, 27 in the 50-59 age group, and 15 in the 60-69 age group. In terms of gender distribution, female predominance was observed, with 64 of the 100 cases being female and 36 male. According to the Fisher grading system, the highest incidence of subarachnoid hemorrhage on brain CT was observed in grade 3. The percentage of patients classified as Fisher grade 3 was 36, followed by 33 in grade 4, 23 in grade 2, and 8 in grade 1. Angiographic vasospasm was defined as a contrast-narrowing phenomenon in the main cerebral arteries, which could be either focal or, in some cases, diffuse. Clinical vasospasm was detected in 23 of cases, whereas angiographic vasospasm was identified in 59 of cases. The highest incidence of angiographic vasospasm was observed in Fisher grade 3, at a rate of 42.4. This was followed by 32.2 in grade 4, 18.6 in grade 2, and 6.8 in grade 1. The high incidence in Fisher grade 3 was found to be statistically significant p0.05. Conclusion: Our study highlights both the advantages and limitations of the Fisher grading system. A statistically significant relationship was found between Fisher grade 3 and cerebral vasospasm.

 Objective: Intracranial aneurysms are pathological dilations of the intracranial arterial wall. The rupture of an aneurysm and the subsequent hemorrhage into the subarachnoid, intraventricular, or subdural spaces constitute a significant clinical condition associated with high morbidity and mortality. Aneurysmal subarachnoid hemorrhage SAH can lead to various severe complications, one of the most critical being ischemia due to cerebral vasospasm. In this study, we aim to analyze the relationship between the amount of hemorrhage and vasospasm. Method: This study was conducted on patients admitted to the Neurosurgery Clinic of the Ministry of Health Ankara Training and Research Hospital with a diagnosis of spontaneous subarachnoid hemorrhage SAH. The diagnosis of SAH was established based on computed tomography CT imaging and lumbar puncture LP findings. To diagnose aneurysms, all patients underwent four-vessel cerebral digital subtraction angiography DSA. The CT images obtained at the time of admission were evaluated using the Fisher grading system. Additionally, angiographic vasospasm was assessed. For the statistical evaluation of the obtained results, the Z-test and chi-square X² test were used to analyze proportions. Results: The mean age of the patients was calculated as 49 years. The age distribution of the cases was as follows: 36 were in the 40-49 age group, 27 in the 50-59 age group, and 15 in the 60-69 age group. In terms of gender distribution, female predominance was observed, with 64 of the 100 cases being female and 36 male. According to the Fisher grading system, the highest incidence of subarachnoid hemorrhage on brain CT was observed in grade 3. The percentage of patients classified as Fisher grade 3 was 36, followed by 33 in grade 4, 23 in grade 2, and 8 in grade 1. Angiographic vasospasm was defined as a contrast-narrowing phenomenon in the main cerebral arteries, which could be either focal or, in some cases, diffuse. Clinical vasospasm was detected in 23 of cases, whereas angiographic vasospasm was identified in 59 of cases. The highest incidence of angiographic vasospasm was observed in Fisher grade 3, at a rate of 42.4. This was followed by 32.2 in grade 4, 18.6 in grade 2, and 6.8 in grade 1. The high incidence in Fisher grade 3 was found to be statistically significant p0.05. Conclusion: Our study highlights both the advantages and limitations of the Fisher grading system. A statistically significant relationship was found between Fisher grade 3 and cerebral vasospasm.

Makale detayları

The Relationship Between the Amount of Radiological Bleeding and The Development of Vasospasm in Aneurysm Hemorrhage: A 100-Case Retrospective Study

Yazarlar:

Ömer Şahin | M.akif Bayar | Ayhan Tekiner | Cevdet Gökçek | Nurullah Edebali | Yavuz Erdem | Haydar Çelik | Mete Karatay

Yayıncı:

Ordu University

Ana Başlıklar:

Clinical Sciences (Other)

Dergi:

Middle Black Sea Journal of Health Science Vol.11 Issue 2, pp.107-115

Belge Tipi:

Makale

Yayın Tarihi:

5/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001349539

pISSN:

2149-7796

Bipolar disorder

stigmatization

emotional expression

loneliness

stress

depression

and anxiety

Sayı

Makale detayları

Yazarlar: Ömer Şahin | M.akif Bayar | Ayhan Tekiner | Cevdet Gökçek | Nurullah Edebali | Yavuz Erdem | Haydar Çelik | Mete Karatay

Yayıncı: Ordu University

Ana Başlıklar: Clinical Sciences (Other)

Dergi: Middle Black Sea Journal of Health Science Vol.11 Issue 2, pp.107-115

Belge Tipi: Makale

Yayın Tarihi: 5/2025

Belge Dili: İngilizce

Document ID (Org No.): 2001349539

pISSN: 2149-7796

Sayı

Yazarlar:

Ömer Şahin | M.akif Bayar | Ayhan Tekiner | Cevdet Gökçek | Nurullah Edebali | Yavuz Erdem | Haydar Çelik | Mete Karatay

Yayıncı:

Ordu University

Ana Başlıklar:

Clinical Sciences (Other)

Dergi:

Middle Black Sea Journal of Health Science Vol.11 Issue 2, pp.107-115

Belge Tipi:

Makale

Yayın Tarihi:

5/2025

Belge Dili:

İngilizce

Document ID (Org No.):

2001349539

pISSN:

2149-7796