CC BY-NC-ND 4.0 · The Arab Journal of Interventional Radiology 2018; 02(03): S24
DOI: 10.1055/s-0041-1730711
Abstract

Subarachnoid Hemorrhage in Young Adults in the KSA

Shaymaa Al-Umran
King Fahad Hospital of University, Khobar, Saudi Arabia
,
Faisal Alabbas
King Fahad Hospital of University, Khobar, Saudi Arabia
,
Hosam Al-Jehani
King Fahad Hospital of University, Khobar, Saudi Arabia
› Author Affiliations

Background: The aim of this study is to review a series of aneurysms occurring in young adults all of which presented with subarachnoid hemorrhage (SAH). Methods: This was a retrospective review of prospectively collected data from January 2014 to 2017. Any patient with an aneurysmal SAH was included in the study. We excluded nonaneurysmal SAH and fusiform aneurysms. Parameters of location, size, complexity and mode of therapy, and clinical course were reviewed. Chi-square contingency analysis was used with significance below 0.05. Results: A total of 96 patients harboring 114 aneurysms were reviewed. A total of 30 patients harboring 36 aneurysms were aged between 18 and 36 years (31.5%). Two out of three were anterior circulation and one out of three were posterior circulation aneurysms. 60% were male and 40% were female, and 50% of males died due to SAH compared to 25% of females. Nine patients suffered a rebleed (30%) and six of those died. Twenty out of 27 patients developed vasospasm and 3 died early due to a rebleed. Fifteen out of 27 patients were coiled, and no significant difference in outcome was observed whether with coiling or clipping. Conclusion: Microsurgical or endovascular obliteration of the aneurysms produced equal results in the young adults presenting with SAH. Maintaining aggressive medical/international normalized ratio therapy during vasospasm is a key to preserving good outcome. Rebleed is a key factor in poor outcome and death. This group of SAH patients deserves further study in terms of their genetic influences which might alter the recommendation for longitudinal follow-up for each patient and the screening of their families.



Publication History

Article published online:
11 May 2021

© 2018. The Arab Journal of Interventional Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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