[Diagnosis of angiographically negative spontaneous subarachnoid hemorrhage].
Objective of the study was to review patients with angiographically negative spontaneous subarachnoid hemorrhage (SAH) and to compare with aneurysmal SAH, as well as to discuss, which patients need repeat-angiography and what imaging method should be used.


METHODS
All patients, who were admitted to Department of Neuroangiosurgery of Kaunas University Hospital after spontaneous SAH in 1994-2000 were evaluated. Neurological status, complications, outcome, radiological findings were investigated and evaluated.


RESULTS
Study showed that the main reason of spontaneous SAH is ruptured intracranial aneurysm. Rare causes of SAH are also possible; also ones of unknown etiology. It was found that patients with angiographically negative SAH were in better neurological status, had a small number of complications and better outcome. It was discussed, which patients need repeat-angiography and what method of imaging should be used.


CONCLUSIONS
Angiographically negative SAH course is better than aneurysmal SAH; not all patients need angiography to be repeated. It is proposed to perform angiography in the group of patients with increased risk.
Vaitkevicius
Gintautas
G
Kauno medicinos universiteto Neurochirurgijos klinika, Eiveniu 2, 3007 Kaunas.
Lukosevicius
Saulius
S
Gvazdaitis
Antanas Romas
AR
D000328:Adult; D017542:Aneurysm, Ruptured / Q000150:complications*; D002533:Cerebral Angiography; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications*; D008297:Male; D008875:Middle Aged; D012307:Risk Factors; D012422:Rupture, Spontaneous; D013345:Subarachnoid Hemorrhage / Q000000981:diagnostic imaging* / Q000209:etiology*; D014057:Tomography, X-Ray Computed