Computed Tomography Angiography (CTA) Evaluation of Spontaneous Subarachnoid Hemorrhage

Authors

  • Md Tauhidul Islam Chowdhury Associate Professor, Department of Neurology, National Institute of Neurosciences & Hospital, Dhaka, Bangladesh
  • Mohammad Shah Jahirul Hoque Chowdhury Professor, Clinical Neurology, National Institute of Neurosciences & Hospital, Dhaka, Bangladesh
  • Mohammad Sadekur Rahman Sarkar Assistant Professor, Department of Neurology, National Institute of Neurosciences & Hospital, Dhaka, Bangladesh
  • KM Ahasan Ahmed Junior Consultant, Department of Neurology, National Institute of Neurosciences & Hospital, Dhaka, Bangladesh
  • Md Nazmul Kabir Medical Officer, Department of Neurology, National Institute of Neurosciences & Hospital, Dhaka, Bangladesh
  • Mohammad Rezaul Haque Indoor Medical Officer, Department of Neurology, National Institute of Neurosciences & Hospital, Dhaka, Bangladesh
  • Fahmida Rouf Junior Scientific Officer, National Institute of Neurosciences & Hospital, Dhaka, Bangladesh
  • Tanvir Haider Assistant Professor (Community Medicine), National Institute of Neurosciences & Hospital, Dhaka, Bangladesh
  • Md Nahidul Islam Assistant Professor, Department of Neurology, National Institute of Neurosciences & Hospital, Dhaka, Bangladesh
  • Md Khairul Kabir Patwary Associate Professor, Department of Neurology, National Institute of Neurosciences & Hospital, Dhaka, Bangladesh
  • Mohammad Selim Shahi Associate Professor, Department of Neurology, National Institute of Neurosciences & Hospital, Dhaka, Bangladesh
  • Md Badrul Alam Professor & Joint Director, National Institute of Neurosciences & Hospital, Dhaka, Bangladesh

DOI:

https://doi.org/10.3329/jninb.v6i2.50745

Keywords:

Computed Tomography; Computed Tomographic Angiography; Anterior Communicating Artery; Middle Cerebral Artery; Internal Carotid Artery; Anterior Cerebral Artery

Abstract

Background: In evaluation of non-traumatic subarachnoid hemorrhage CT angiography (CTA) has 97-98% sensitivity and near 100% specificity.

Objective: This study was conducted to evaluate the CTA findings of CT positive non traumatic subarachnoid hemorrhage.

Methodology: This is an observational cross sectional study performed in Neurology department of National Institute of Neurosciences and Hospital, Dhaka over one year period (January 2019 to December 2019). Total 87 CT positive subarachnoid hemorrhage cases were purposively included in this study. All CT positive patients underwent CTA of Cerebral vessels for further evaluation. The angiography were evaluated by competent neuro-radiologists blinded about the study.

Result: Among 87 patients, 40.2% were male and 59.8% were female. The average age was 53.33±11.1 years. Among the studied patient the source of bleeding was found 78.16% aneurysmal and 21.84% non-aneurysmal. 85.30% patients had single aneurysm and 14.70% had multiple aneurysm. The highest number of patient had Acom aneurysm (41.17%) followed by MCA (22.05%), ICA (13.23%), ACA (7.35%) and vertebral artery (1.14%) in order of frequency. Among the multiple aneurysm group most of the patients had combination of Acom, MCA and ICA aneurysm.

Conclusion: From this study, we can conclude that CTA can be used as the primary diagnostic tool in evaluation of spontaneous SAH.

Journal of National Institute of Neurosciences Bangladesh, 2020;6(2): 78-81

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Published

2020-12-13

How to Cite

Chowdhury, M. T. I., Chowdhury, M. S. J. H., Sarkar, M. S. R., Ahmed, K. A., Kabir, M. N., Haque, M. R., Rouf, F., Haider, T., Islam, M. N., Patwary, M. K. K., Shahi, M. S., & Alam, M. B. (2020). Computed Tomography Angiography (CTA) Evaluation of Spontaneous Subarachnoid Hemorrhage. Journal of National Institute of Neurosciences Bangladesh, 6(2), 78–81. https://doi.org/10.3329/jninb.v6i2.50745

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Original Research Articles