Digital Subtraction Angiography Findings in Aneurysmal Subarachnoid Haemorrhage: Experience of 30 Cases in Bangladesh

Authors

  • Mahmudul Islam Assistant Professor, Department of Neurology, National Institute of Neurosciences and Hospital, Dhaka
  • Mashfiqul Hasan Assistant Registrar, Department of Neurology, National Institute of Neurosciences and Hospital, Dhaka
  • Maliha Hakim Professor, Department of Neurology, National Institute of Neurosciences and Hospital, Dhaka,
  • Sharif Uddin Khan Associate Professor, Department of Neurology, National Institute of Neurosciences and Hospital, Dhaka
  • Kazi Mohibur Rahman Associate Professor, Department of Intervention Neurology, National Institute of Neurosciences and Hospital, Dhaka
  • Quazi Deen Mohammad Director & Professor of Neurology, National Institute of Neurosciences and Hospital, Dhaka

DOI:

https://doi.org/10.3329/jninb.v2i2.34094

Keywords:

Digital subtraction angiography, subarachnoid haemorrhage, aneurysmal

Abstract

Background: Digital subtraction angiography (DSA) is an important diagnostic tool for aneurysmal subarachnoid haemorrahage (SAH).

Objectives: The purpose of the present study was to observe the findings of DSA in patients with SAH.

Methodology: This cross-sectional study was performed in the Department of Neurology at Dhaka Medical College Hospital, Dhaka from December 2009 to November 2010 for a period of one (1) year. Patients at any age in both sexes who were admitted with SAH were included by purposive sampling technique. Demographic and clinical data were recorded in a semi-structured questionnaire. Angiography was performed after 4 weeks by DSA technique among all patients.

Results: The mean age of the participants was 44.9±9.7 years (mean±SD). Male female ratio was 3:2. Hypertension, smoking, diabetes mellitus and family history of SAH were found in 14(46.6%) cases, 13(43.3%) cases, 3(10.0%) cases and 2(6.7%) cases patients respectively. All the study patients (100%) had headache and vomiting while 19(63.3%) cases had history of unconsciousness. Signs of meningeal irritation were present in 23(76.7%) patients. Anterior communicating artery was the most common site of aneurysm (36.7%) followed by middle cerebral (26.7%) and posterior communicating artery (23.3%). Majority of aneurysms were medium sized (46.7%), while 33.3% were small and 20.0% were large. Saccular aneurysm was found in 93.3% and aneurysms of narrow neck size in 86.7%.

Conclusions: DSA has demonstrated that anterior communicating artery is the most common site of aneurysms in patients with SAH and is most often saccular with a narrow neck.

Journal of National Institute of Neurosciences Bangladesh, 2016;2(2): 51-54

Downloads

Download data is not yet available.
Abstract
38
PDF
30

Downloads

Published

2017-10-22

How to Cite

Islam, M., Hasan, M., Hakim, M., Khan, S. U., Rahman, K. M., & Mohammad, Q. D. (2017). Digital Subtraction Angiography Findings in Aneurysmal Subarachnoid Haemorrhage: Experience of 30 Cases in Bangladesh. Journal of National Institute of Neurosciences Bangladesh, 2(2), 51–54. https://doi.org/10.3329/jninb.v2i2.34094

Issue

Vol. 2 No. 2 (2016)

Section

Original Research Articles

License

Copyright on any research article in the Journal of National Institute of Neurosciences Bangladesh is retained by the author(s).

The authors grant the National Institute of Neurosciences Bangladesh a license to publish the article and identify itself as the original publisher.

Articles in the Journal of National Institute of Neurosciences Bangladesh are Open Access articles published under the Creative Commons CC BY-NC License (https://creativecommons.org/licenses/by-nc/4.0/)

This license permits use, distribution and reproduction in any medium, provided the original work is properly cited, and it is not used for commercial purposes.