Abstract:

Aim. In this article, we tried to find out whether any of SAH clinical symptoms can be both short-term and long-term predictors for patients. Materials. 144 SAH / unruptured aneurysm patients, treated at Uzhgorod Regional Center of neurology and neurosurgery during 4 years, were examined. The patients were examined on standardized scales (WFNS, Hunt-Hess, GCS), neurovisual and other clinical criteria. The early clinical outcome was determined by GlasgowOutcomeScale. Results and discussion. Considering the given clinical data, we can identify several predictors of a positive early outcome after aneurismal subarachnoid hemorrhage (i.e. 4 – 5 Glasgow Outcome Scale points): - High level of consciousness, according to the GSC scale, at the moment of hospitalization; - Hunt-Hess / WFNS I-II. At the same time, low indicators of these scales in the disease onset are associated with a worse early outcome (1 – 3 Glasgow Outcome Scale points). The young age is SAH risk factor, but it’s not the unambiguous feature for the disease prediction. Also, a hypertension in anamnesis is one of the worse prediction indexes. Conclusion. A correlation between epileptic seizures in SAH onset and higher risk of rebleeding was found out. Therefore, this clinical symptom can be a negative outcome predictor and requires more thorough attention and study. We believe that even patients with good neurological recovery and the relative / complete independence after SAH in future can suffer from anxiety, depression, post-traumatic stress disorder and cognitive impairment, affecting quality of their lives. It should be considered in the long term – with cognitive function study and the use of quality of life scale in routine practice after SAH Author Biographies Євгенія Іванівна Цьома, Uzhhorod National University Narodna sq., 3, Uzhhorod, Ukraine, 88000 Regional clinical center of neurosurgery and neurology Peremohy str., 24, Uzhhorod, Ukraine, 88018 Postgraduate student Department of Neurology, Neurosurgery and Psychiatry Neurologist Department of Neurosurgery # 1

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