TY  - JOUR
T1  - The Relationship Between the Amount of Radiological Bleeding and The Development of Vasospasm in Aneurysm Hemorrhage: A 100-Case Retrospective Study
AU  - Şahin, Ömer
AU  - Bayar, M.akif
AU  - Tekiner, Ayhan
AU  - Gökçek, Cevdet
AU  - Edebali, Nurullah
AU  - Erdem, Yavuz
AU  - Çelik, Haydar
AU  - Karatay, Mete
PY  - 2025
DA  - May
Y2  - 2025
DO  - 10.19127/mbsjohs.1580348
JF  - Middle Black Sea Journal of Health Science
JO  - Mid Blac Sea J Health Sci
PB  - Ordu University
WT  - DergiPark
SN  - 2149-7796
SP  - 107
EP  - 115
VL  - 11
IS  - 2
LA  - en
AB  - 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 (p
KW  - Bipolar disorder
KW  - stigmatization
KW  - emotional expression
KW  - loneliness
KW  - stress
KW  - depression
KW  - and anxiety
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UR  - https://doi.org/10.19127/mbsjohs.1580348
L1  - https://dergipark.org.tr/en/download/article-file/4344241
ER  -