Srpski arhiv za celokupno lekarstvo 2012 Volume 140, Issue 1-2, Pages: 8-13
https://doi.org/10.2298/SARH1202008K
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Complications after angiogram-negative subarachnoid haemorrhage: Comparative study of pretruncal and nonpretruncal hemorrhage patients
Kostić Aleksandar (Klinika za neurohirurgiju, Klinički centar Niš, Niš)
Stojanov Dragan (Institut za radiologiju, Klinički centar Niš, Niš)
Stefanović Ivan (Klinika za neurohirurgiju, Klinički centar Niš, Niš)
Novak Vesna (Klinika za neurohirurgiju, Klinički centar Niš, Niš)
Kostić Emina (Klinički centar Niš, Niš)
Benedeto-Stojanov Daniela (Klinički centar Niš, Niš)
Veselinović Dragan (Klinika za oftalmologiju, Klinički centar Niš, Niš)
Introduction. Subarachnoid haemorrhages (SAH) of unknown aetiology usually
have a mild clinical presentation, favourable outcome and low complication
rate. Objective. The aim of this study was to analyze the complications in
two forms of angiogram-negative spontaneous SAH: pretruncal (PNSAH) and
nonpretruncal (NPNSAH). Methods. The study group involved 18 patients with
PNSAH and 16 patients with NPNSAH. CT scan was done within 72 hours from
bleeding. All patients underwent four-vessel cerebral angiography. Repeat
angiography was performed in five PNSAH and all NPNSAH patients. Results.
Twenty-nine patients were in grade I or II of the Hunt-Hess Scale (17 PNSAH
and 12 NPNSAH). There was one case of rebleeding (NPNSAH patient), 10 cases
of transient acute hydrocephalus (4 PNSAH and 6 NPNSAH). Cerebral vasospasm
visualized by angiographies in two NPNSAH patients was local and mild, but
was not found in PNSAH patients. Acute electrocardiography changes were found
in 19 patients (significantly more frequently in NPNSAH than in PNSAH, 12 and
7 patients, respectively; p=0.037). Conclusion. Cardiac problems following
these types of SAH are more frequent than expected, and therefore cardiac
monitoring is necessary.
Keywords: angiogram-negative subarachnoid haemorrhage, complications, electrocardiography