Abdurrahim TEKIN, Engin CAN
Comprehensive Medicine - 2026;18(2):147-153
Objective: This study aimed to evaluate the demographic, clinical, and radiological characteristics, treatment approaches, and outcomes of patients diagnosed with subarachnoid hemorrhage (SAH) at a tertiary neurosurgery center, distinguishing between traumatic and spontaneous (aneurysmal and non-aneurysmal) etiologies. Materials and Methods: A total of 188 patients diagnosed with SAH between September 2023 and September 2025 were retrospectively reviewed. Patients were classified as having traumatic or spontaneous SAH based on etiology. Demographic characteristics, imaging findings, aneurysm features, complications (vasospasm, hydrocephalus), treatment modalities, and clinical outcomes were recorded and analyzed. Results: Of the 188 patients, 126 (67.0%) had traumatic SAH and 62 (33.0%) had spontaneous SAH. The mean age was 40.6+/-23.6 years in traumatic cases and 52.0+/-14.1 years in spontaneous cases. Aneurysmal rupture accounted for 74.2% of spontaneous SAH cases, most frequently involving the anterior communicating artery (27.4%) and the middle cerebral artery (21.0%). Vasospasm occurred in 19.3% and hydrocephalus in 14.5% of spontaneous cases. The overall mortality rate was 1.6%, and favorable neurological recovery (mRS <= 3) was achieved in 83.9% of patients. Conclusion: Traumatic SAH occurs predominantly in younger males, whereas spontaneous SAH most commonly results from aneurysm rupture. Early diagnosis, multidisciplinary management, vasospasm monitoring, and the widespread use of endovascular therapy are key factors in reducing mortality and improving neurological recovery.
