Role of MDCT Angiography in Evaluation of Nontraumatic Subarachnoid Hemorrhage

Introduction: Subarachnoid hemorrhage (SAH) involves the extravasation of blood into the subarachnoid space and is a critical condition with high mortality and morbidity rates. Nontraumatic causes, predominantly ruptured cerebral aneurysms, account for approximately 85% of cases. Early and accurate...

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Main Authors: Shruti Sharma, Suresh K. Toppo, Rajeev K. Ranjan, Anima R. Xalxo, Nisha Rai, Madan K. Sharma, Abhay Kumar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2025-06-01
Series:Journal of Pharmacy and Bioallied Sciences
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Online Access:https://journals.lww.com/10.4103/jpbs.jpbs_98_25
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author Shruti Sharma
Suresh K. Toppo
Rajeev K. Ranjan
Anima R. Xalxo
Nisha Rai
Madan K. Sharma
Abhay Kumar
author_facet Shruti Sharma
Suresh K. Toppo
Rajeev K. Ranjan
Anima R. Xalxo
Nisha Rai
Madan K. Sharma
Abhay Kumar
author_sort Shruti Sharma
collection DOAJ
description Introduction: Subarachnoid hemorrhage (SAH) involves the extravasation of blood into the subarachnoid space and is a critical condition with high mortality and morbidity rates. Nontraumatic causes, predominantly ruptured cerebral aneurysms, account for approximately 85% of cases. Early and accurate diagnosis using advanced imaging modalities such as multidetector computed tomography (MDCT) angiography is crucial for effective management. Materials and Methods: A hospital-based cross-sectional study was conducted over 24 months. Forty patients clinically suspected or diagnosed with nontraumatic SAH were evaluated using MDCT angiography. Data included demographics, clinical presentation, and imaging findings, which were analyzed using statistical methods. Results: Among 40 participants, 29 had positive findings on MDCT angiography. Aneurysms were the most common abnormality (65%), predominantly located in the anterior circulation (47.5%). The sensitivity of MDCT angiography was 89.65% compared to non-enhanced CT. Key risk factors included hypertension and smoking. Gender analysis revealed a higher incidence in females (82.3%) compared to males (65.2%). Discussion: MDCT angiography is effective for diagnosing and planning interventions for SAH. It reliably detects aneurysm characteristics, including size, shape, and location, aiding in risk assessment and treatment planning. Its role as a noninvasive alternative to digital subtraction angiography is emphasized. Conclusion: MDCT angiography is a valuable tool in evaluating nontraumatic SAH, providing critical insights for prompt and accurate diagnosis, risk stratification, and therapeutic planning.
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spelling doaj-art-0a3caae9c60c42fda0f0b132140150bd2025-08-20T03:31:31ZengWolters Kluwer Medknow PublicationsJournal of Pharmacy and Bioallied Sciences0976-48790975-74062025-06-0117Suppl 2S1350S135210.4103/jpbs.jpbs_98_25Role of MDCT Angiography in Evaluation of Nontraumatic Subarachnoid HemorrhageShruti SharmaSuresh K. ToppoRajeev K. RanjanAnima R. XalxoNisha RaiMadan K. SharmaAbhay KumarIntroduction: Subarachnoid hemorrhage (SAH) involves the extravasation of blood into the subarachnoid space and is a critical condition with high mortality and morbidity rates. Nontraumatic causes, predominantly ruptured cerebral aneurysms, account for approximately 85% of cases. Early and accurate diagnosis using advanced imaging modalities such as multidetector computed tomography (MDCT) angiography is crucial for effective management. Materials and Methods: A hospital-based cross-sectional study was conducted over 24 months. Forty patients clinically suspected or diagnosed with nontraumatic SAH were evaluated using MDCT angiography. Data included demographics, clinical presentation, and imaging findings, which were analyzed using statistical methods. Results: Among 40 participants, 29 had positive findings on MDCT angiography. Aneurysms were the most common abnormality (65%), predominantly located in the anterior circulation (47.5%). The sensitivity of MDCT angiography was 89.65% compared to non-enhanced CT. Key risk factors included hypertension and smoking. Gender analysis revealed a higher incidence in females (82.3%) compared to males (65.2%). Discussion: MDCT angiography is effective for diagnosing and planning interventions for SAH. It reliably detects aneurysm characteristics, including size, shape, and location, aiding in risk assessment and treatment planning. Its role as a noninvasive alternative to digital subtraction angiography is emphasized. Conclusion: MDCT angiography is a valuable tool in evaluating nontraumatic SAH, providing critical insights for prompt and accurate diagnosis, risk stratification, and therapeutic planning.https://journals.lww.com/10.4103/jpbs.jpbs_98_25cerebral aneurysmimagingmdct angiographynontraumatic hemorrhagesubarachnoid hemorrhage
spellingShingle Shruti Sharma
Suresh K. Toppo
Rajeev K. Ranjan
Anima R. Xalxo
Nisha Rai
Madan K. Sharma
Abhay Kumar
Role of MDCT Angiography in Evaluation of Nontraumatic Subarachnoid Hemorrhage
Journal of Pharmacy and Bioallied Sciences
cerebral aneurysm
imaging
mdct angiography
nontraumatic hemorrhage
subarachnoid hemorrhage
title Role of MDCT Angiography in Evaluation of Nontraumatic Subarachnoid Hemorrhage
title_full Role of MDCT Angiography in Evaluation of Nontraumatic Subarachnoid Hemorrhage
title_fullStr Role of MDCT Angiography in Evaluation of Nontraumatic Subarachnoid Hemorrhage
title_full_unstemmed Role of MDCT Angiography in Evaluation of Nontraumatic Subarachnoid Hemorrhage
title_short Role of MDCT Angiography in Evaluation of Nontraumatic Subarachnoid Hemorrhage
title_sort role of mdct angiography in evaluation of nontraumatic subarachnoid hemorrhage
topic cerebral aneurysm
imaging
mdct angiography
nontraumatic hemorrhage
subarachnoid hemorrhage
url https://journals.lww.com/10.4103/jpbs.jpbs_98_25
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