Factors Associated with Cerebral Vasospasm in Patients with Subarachnoid Hemorrhage Due to Ruptured Intracranial Aneurysm

Abstract

Background: Subarachnoid hemorrhage (SAH) due to ruptured cerebral aneurysm is commonly complicated by cerebral vasospasm. Investigating its causes and modern treatment approaches is essential for selecting the most appropriate management strategies.

Objective: To identify factors associated with cerebral vasospasm in patients with subarachnoid hemorrhage from ruptured intracranial aneurysms.

Method: This quantitative, retrospective study was conducted using medical records. The sample included 55 patients diagnosed with cerebral vasospasm following subarachnoid hemorrhage from ruptured intracranial aneurysms at Hua Hin Hospital. Statistical methods used included percentage, frequency distribution, and multiple logistic regression analysis.

Results: Patient factors significantly associated with cerebral vasospasm included Hunt and Hess grade 3 or 4, WFNS grade 4 or 5, Modified Fisher grade 3 or 4, Glasgow Coma Scale motor response (M4 or M5), and presence of intracerebral hemorrhage.

Conclusion: Cerebral vasospasm was significantly associated with the following clinical factors: Hunt and Hess grade 3 or 4, WFNS grade 4 or 5, Modified Fisher grade 3 or 4, GCS motor score of M4 or M5, and intracerebral hemorrhage.