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- W2997933321 abstract "Introduction SAH is a serious emergency leading to high case fatality and neurological disability. Methodology: a total number of 40 patients with spontaneous SAH were enrolled in the study, over 5 months and followed up for 3 weeks in regard to the symptomatology, signs, GCS, weakness, CT findings and clinical outcome. Poor outcome group was used for patients who died at the end of the 3 weeks while good outcome for survivors. Results Mean age for SAH was 53 years, females were 62%. The commonest presenting symptoms in the 2 groups were headache (95%, 81%) and neck pain (75%,68%). One third had H/T and smoking. Seizures occurred in 8%, hemiparesis 7.5%, unilateral ptosis in 2.5%, subhyaloid hemorrhage in 15%, 22% had large CT hemorrhage, 40% moderate hemorrhage. In 50% of patients GCS was 15/15 on admission, 66.7% of which had good outcome. Discussion The headache and neck pain proved to be the commonest presentation. GCS and hemiparesis were the strongest negative predictors of outcome. Conclusion The mean age, clinical presentation and mortality rates of the study population were related to the international literature. 40% of patients died at the end of the first 3 weeks and 87.5% of them died in the first week. All patients had evidence of SAH on non-contrast CT. The most important bad prognostic factors included delayed diagnosis, low GCS and hemiparesis. Others were age above 80 years, Hypertension, smoking, and large bleed on the CT brain." @default.
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- W2997933321 date "2019-10-01" @default.
- W2997933321 modified "2023-09-26" @default.
- W2997933321 title "Clinical outcome of primary subarachnoid hemorrhage and their determinants three week after admission, in Omdurman Teaching Hospital- Sudan from May 2013 - September 2013" @default.
- W2997933321 doi "https://doi.org/10.1016/j.jns.2019.10.585" @default.
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