Clinical Profile of Patients with Aneurysmal Subarachnoid Hemorrhage in a Tertiary Government Hospital

Emmanuel E. Albano Jr, MD; Reynaldo Benedict V. Villamor Jr, MD, FAFN; Dean Carlo S. Dumalagan, MD,

doi:10.36948/ijfmr.2023.v05i04.5467

Clinical Profile of Patients with Aneurysmal Subarachnoid Hemorrhage in a Tertiary Government Hospital

Author(s)	Emmanuel E. Albano Jr, MD, Reynaldo Benedict V. Villamor Jr, MD, FAFN, Dean Carlo S. Dumalagan, MD,
Country	Philippines
Abstract	INTRODUCTION: Aneurysmal subarachnoid hemorrhage (aSAH) remains a serious disease with high morbidity and mortality. Early detection and treatment contribute to increase chance of survival and better prognosis. This study aims to determine the clinical profile of patients with aSAH who were admitted in a tertiary government hospital in Cebu, Philippines. METHODS: A single, cross-sectional study was performed on 250 patients diagnosed with aSAH at Vicente Sotto Memorial Medical Center (VSMMC), Cebu, Philippines from January 2016 to June 2020. RESULTS: Majority of the patients were female (68.0%) while 32.0% were male. Most of these patients were <60 years old. Hypertension was the most common comorbidity associated with aneurysm. On the other hand, history of smoking was noted in 26.0% of patients. Seventy five percent of patients had elevated BP, while other vital signs were mostly normal. The clinical presentation included severe headache (73.0%), followed by loss of consciousness (16.0%), neurologic deficit (8.0%), seizure (1.0%), and cranial nerve (CN) palsy (1.0%). Most of the patients on admission were classified as good grade at 69% while 31% were poor grade. On CT scan, most patients had Fisher grade III (33.0%). Small size aneurysms were the most common ruptured aneurysms CONCLUSION: The identified risk factors in developing aneurysmal subarachnoid hemorrhage (aSAH) were advanced age, female gender, and hypertension. Majority of the patients complained of severe headache, loss of consciousness and neurologic deficit. Predominantly, these patients had good grade aneurysm. The most common location of aneurysms were the posterior communicating artery, anterior communicating artery, and middle cerebral artery. Small size aneurysms had the highest frequency of ruptured aneurysms.
Keywords	Aneurysmal Subarachnoid Hemorrhage, Clinical Profile, Ruptured Aneurysm, Craniotomy
Published In	Volume 5, Issue 4, July-August 2023
Published On	2023-08-17
Cite This	Clinical Profile of Patients with Aneurysmal Subarachnoid Hemorrhage in a Tertiary Government Hospital - Emmanuel E. Albano Jr, MD, Reynaldo Benedict V. Villamor Jr, MD, FAFN, Dean Carlo S. Dumalagan, MD, - IJFMR Volume 5, Issue 4, July-August 2023. DOI 10.36948/ijfmr.2023.v05i04.5467
DOI	https://doi.org/10.36948/ijfmr.2023.v05i04.5467
Short DOI	https://doi.org/gsmnm3

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Clinical Profile of Patients with Aneurysmal Subarachnoid Hemorrhage in a Tertiary Government Hospital

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