Short-Term Outcomes of Aneurysmatic/Non-Aneurysmatic Patients Operated for Spontaneous Subarachnoid Hemorrhage: A Tertiary Referral Center

INTRODUCTION: This study aimed to evaluate the short-term results of patients who presented with spontaneous subarachnoid hemorrhage due to vascular pathology and were operated on by the same team.
METHODS: Clinical data in patients files, Preoperative and postoperative neurological and radiological findings, age, gender, and treatment results were evaluated retrospectively.
RESULTS: The same team performed surgery on 38 (47.5%) patients. Twenty (52.6%) of the patients included in the study were female, and 18 (47.3%) were male. There were 33 patients with detected bleeding aneurysms, three with bleeding AVMs, and two patients with non-bleeding aneurysms.
It was determined that 5% of the patients had a Fisher score of 1, 34% had a Fisher score of 2, 24% had a Fisher score of 3, and 37% had a Fisher score of 4
Ten patients died. There were signs of vasospasm in 18 patients. Nine (50%) of 18 patients with vasospasm survived, and 9(50%) died.
Eleven patients had hydrocephalus. EVD was inserted in 10 patients. Lamina terminalis was opened in 29 patients.
The vessel with the most common aneurysm was the isolated AcomA aneurysm, with a rate of 31.5% (n=12). MCA aneurysm was found with the second frequency with a rate of 23.6% (n=9)


DISCUSSION AND CONCLUSION: Spontaneous subarachnoid hemorrhage is a disease with high mortality and morbidity in neurosurgery. Rebleeding, vasospasm, onset GCS,Fisher score, and experienced surgical equipment are among the factors affecting the treatment outcome. Multidisciplinary treatment in centers where diagnosis, treatment, and follow-up can be made by the same team will reduce mortality and morbidity rates.