[Computed tomography in subarachnoidal hemorrhage provoked by multiple aneurysms (author's transl)]

Area of Science:

• Neurology
• Radiology
• Neurosurgery

Background:

• Subarachnoid hemorrhage (SAH) is a critical condition often associated with multiple intracranial aneurysms.
• Accurate diagnosis and localization of the ruptured aneurysm are crucial for patient management and outcomes.
• Traditional diagnostic methods may have limitations in comprehensively assessing SAH and associated aneurysms.

Purpose of the Study:

• To evaluate the utility of computed tomography (CT) scans in patients presenting with subarachnoid hemorrhage and multiple aneurysms.
• To assess CT's capability in visualizing blood distribution and predicting the site of aneurysm rupture.
• To determine if CT can provide valuable information regarding brain parenchymal changes and obviate the need for lumbar puncture.

Main Methods:

• Retrospective analysis of 8 patients diagnosed with subarachnoid hemorrhage and multiple aneurysms.
• Detailed review of computed tomography (CT) scan findings for each patient.
• Correlation of imaging findings with clinical evolution and management decisions.

Main Results:

• CT scans effectively demonstrated the distribution of subarachnoid blood.
• The technique proved useful in predicting the location of the ruptured aneurysm among multiple aneurysms.
• CT provided valuable information on brain parenchymal alterations throughout the patient's clinical course.
• CT imaging facilitated the avoidance of lumbar puncture in the diagnostic workup.

Conclusions:

• Computed tomography is a valuable non-invasive tool for evaluating subarachnoid hemorrhage with multiple aneurysms.
• CT aids in precise localization of the bleeding source, guiding surgical or interventional strategies.
• This imaging modality offers comprehensive insights into associated brain injury and patient recovery, enhancing clinical management.