Behavior of spontaneous subarachnoid haemorrhage
Keywords:
cerebrovascular disorders, subarachnoid hemorrhage, intracranial aneurysm, mortalityAbstract
Introduction: the spontaneous subarachnoid hemorrhage is the extravasation of blood into the subarachnoid spaces, its most frequent cause is the rupture of an intracranial aneurysm.Objective: to characterize clinically and epidemiologically and anatomopathologically the spontaneous subarachnoid hemorrhage in the "Arnaldo Milián Castro" Hospital during 2018.
Methods: a descriptive observational study was carried out, of retrospective longitudinal cut, in the period from January to December 2018. The sample to be studied consisted of 32 patients.
Results: the most affected sex was female (19, 59.4%), the predominant cause was aneurysmal (17, 53.1%), followed by arterial hypertension (18.8%), vasospasm (34.4%) and endocranial hypertension (21.9%).
Conclusions: the most affected sex was female and, in relation to age, the 60 to 69 years age group was more predominant. The predominance of aneurysmal causes was determined, followed by those secondary to arterial hypertension, and the most frequently affected arteries were the middle cerebral and posterior communicating arteries. The most frequent complications were rebleeding and endocranial hypertension. The majority of patients had a fatal outcome and the aneurysmal cause predominated according to the anatomopathological report.
Downloads
References
1.Moreno Zambrano D, Santamaría D, Ludeña C, Barco A, Vásquez D, Santibáñez Vásquez R. Enfermedad Cerebrovascular en el Ecuador: Análisis de los Últimos 25 Años de Mortalidad, Realidad Actual y Recomendaciones. Rev Ecuat Neurol [Internet]. 2016 [citado 10/01/2020];25(1-3):17-20. Disponible en: http://revecuatneurol.com/wpcontent/uploads/2017/05/Enfermedadcerebrovascular-ecuador-analisis-mortalidad.pdf Cerebrovascular-en-el-Ecuador-Analisis-delos-Ultimos-25-Anos-de-Mortalidad-Realidad-Actual-y-Recomendaciones.pdf
2.Málaga G, De La Cruz Saldaña T, Busta Flores P, Carbajal A, Santiago Mariaca K. La enfermedad cerebrovascular en el Perú: estado actual y perspectivas de investigación clínica. Acta Méd Peru [Internet]. 2018 [citado 10/01/2020];35(1):51-54. Disponible en: http://www.scielo.org.pe/scielo.php?script=sci_arttext&pid=S1728-59172018000100008
3.Miguel Soca P, Sarmiento Teruel Y, Mariño Soler A, Llorente Columbié Y, Rodríguez Graña T, Peña González M. Prevalencia de enfermedades crónicas no transmisibles y factores de riesgo en adultos mayores de Holguín. Rev Finlay [Internet]. 2017 [citado 03/01/2020];7(3):155-167. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S2221-24342017000300002
4.Miguel Soca PE, Rivas M, Sarmiento Y, Mariño AL, Marrero M, Mosqueda L, et al. Prevalence of Metabolic Syndrome Risk Factors in Adults in Holguín, Cuba (2004–2013). MEDICC Review [Internet]. 2016 [citado 23/12/2019];18(1-2):28-33. Disponible en: https://mediccreview.org/prevalence-of-metabolic-syndrome-risk-factors-in-adults-in-holguin-cuba-2004-2013/. https://doi.org/10.37757/MR2016.V18.N1-2.6
5.Pigretti Santiago G, Alet Matías J, Mamani Carlos E, Alonzo Claudia, Aguilar Martín, Álvarez Héctor J, et al. Consenso sobre accidente cerebrovascular isquémico agudo. Medicina (B Aires) [Internet]. 2019 [citado 04/01/2020];79(Supl 2):1-46. Disponible en: http://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S0025-76802019000400001
6.Maldonado Cando FM, García Montalvo GR, Ramos Tituaña ET. Comportamiento de la hemorragia subaracnoidea en la Unidad de Adultos Área de Cuidados Intensivos del Hospital de Especialidades Carlos Andrade Marín. Cambios [Internet]. 2018 [citado 04/01/2020];17(2):40-45. Disponible en: https://revistahcam.iess.gob.ec/index.php/cambios/article/view/302/299. https://doi.org/10.36015/cambios.v17.n2.2018.302
7.Cruz Peña E, Domínguez Guerra LM, Arribas Pérez C, Rodríguez López AJ. Comportamiento clínico epidemiológico de la Hemorragia Subaracnoidea no traumática. Prog [Internet]. 2018 [citado 04/01/2020];1(1):21-36. Disponible en: http://www.revprogaleno.sld.cu/index.php/progaleno/article/view/46/5
8.Lawton M, Vates E. Subarachnoid Hemorrhage. N Engl J Med [Internet]. 2017 [citado 04/01/2020];377(3):257-66. Disponible en: https://pubmed.ncbi.nlm.nih.gov/28723321/. https://doi.org/10.1056/nejmcp1605827
9.Páez Granda DJ. Hemorragia subaracnoidea angio negativa: diagnóstico, complicaciones y utilidad de las escalas clínico radiológicas para su valoración [tesis de doctorado]. Murcia: Universidad de Murcia; 2019 [citado 04/01/2020]. Disponible en: https://digitum.um.es/digitum/handle/10201/72062
10.Garg R, Bar B. Systemic Complications Following Aneurysmal Subarachnoid Hemorrhage. Curr Neurol Neurosci Rep [Internet]. 2017 [citado 04/01/2020];17(1):7. Disponible en: https://pubmed.ncbi.nlm.nih.gov/28168536/. https://doi.org/10.1007/s11910-017-0716-3
11.Yáñez Lermanda A, Ruiz-Aburto Aguilar A. Tratamiento de la hemorragia subaracnoidea aneurismática en el Hospital Clínico de la Universidad de Chile. Rev Med Chile [Internet]. 2014 [citado 04/01/2020];142(8):982-988. Disponible en: https://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872014000800005. http://dx.doi.org/10.4067/S0034-98872014000800005
12.Ministerio de Salud Pública. Anuario Estadístico de Salud 2018 [Internet]. La Habana: MINSAP; 2019 [citado 10/01/2020]. Disponible en: https://files.sld.cu/bvscuba/files/2019/04/Anuario-Electr%c3%b3nico-Espa%c3%b1ol-2018-ed-2019-compressed.pdf
13.Hoyos Castillo JD, Moscote Salazar LR. Hemorragia subaracnoidea aneurismática con mal grado clínico: Revisión clínica. Rev Mex Neuroci [Internet]. 2016 [citado 04/01/2020];17(1):50-64. Disponible en: http://previous.revmexneurociencia.com/wp-content/uploads/2016/06/RevMexNeuroci-No-1-Ene-Feb-2016-50-64-R.pdf
14.Sosa Medellín MA. Hemorragia subaaracnoidea aneurismática; manifestaciones clínicas y estudios diagnósticos. Rev Esc Med Dr J Sierra [Internet]. 2014 [citado 04/01/2020];28(2):103-108. Disponible en: https://biblat.unam.mx/hevila/RevistadelaEscueladeMedicinaDrJoseSierraFloresdelaUniversidaddelNoreste/2014/vol28/no2/6.pdf
15.Cardentey Pereda AL, Pérez Falero RA. Hemorragia subaracnoidea. Rev Neurol [Internet]. 2002 [citado 04/01/2020];34(10):954-966. Disponible en: https://neurologia.com/articulo/2000059. https://doi.org/10.33588/rn.3410.2000059
16.Noceda Bermejo J. Protocolo de manejo y derivación de la Hemorragia subaracnoidea no traumática [Internet]. Valencia: Departamento de salud de Sagunto; 2017 [citado 04/01/2020]. Disponible en: http://www.Dep4.san.gva.es/contenidos/urg/reserv/archivos/protocolos/guia%20HSA.pdf
17.Carrillo Esper R, Garcilazo Reyes YJ. Edema pulmonar en hemorragia subaracnoidea. Med Int Méx [Internet]. 2014 [citado 04/01/2020];30(1):108-113. Disponible en: https://www.imbiomed.com.mx/articulo.php?id=100770
18.Rodríguez PL, Rodríguez García D. Hemorragia subaracnoidea: epidemiología, etiología, fisiopatología y diagnóstico. Rev Cubana Neurol Neuroc [Internet]. 2011 [citado 04/01/2020];1(1):59-63. Disponible en: http://www.revneuro.sld.cu/index.php/neu/article/view/18/14
Downloads
Published
How to Cite
Issue
Section
License
Authors who have publications with this journal agree to the following terms:
- Authors will retain their copyright and assign to the journal the right of first publication of their work, which will simultaneously be subject to a Creative Commons License / Attribution-Noncommercial 4.0 International (CC BY-NC 4.0) that allows third parties to share the work as long as its author and first publication in this journal are indicated.
- Authors may adopt other non-exclusive license agreements for distribution of the published version of the work (e.g., depositing it in an institutional repository or publishing it in a monographic volume) as long as the initial publication in this journal is indicated.
- Authors are allowed and encouraged to disseminate their work through the Internet (e.g., in institutional telematic archives or on their web page) before and during the submission process, which can produce interesting exchanges and increase citations of the published work. (See The effect of open access).
15 junio 2025
