الفهرس 
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Abstract
Subarachnoid hemorrhage is bleeding into the subarachnoid space,
the area between the arachnoid membrane and the pia mater surrounding
the brain. Circle of Willis with the most common locations of ruptured
aneurysms, in 85 percent of cases of spontaneous SAH.
In 15–20 percent of cases of spontaneous SAH, no aneurysm is
detected on the first angiogram.
SAH is often associated with a poor outcome. Factors that carry a
worse prognosis during the hospital stay include occurrence of delayed
ischemia resulting from vasospasm, development of intracerebral
hematoma or intraventricular hemorrhage and presence of fever.
Neurocognitive symptoms, fatigue, mood disturbances, and other
related symptoms are common sequelae. Even in those who have made
good neurological recovery.
This work had studied variations of neuropsychiatric complications
in different subarachnoid hemorrhage presentations & its relation to
degree of hemorrhage, forty patients of spontaneous subarachnoid
hemorrhage diagnosed by CT brain are examined and investigated at
onset and after one month, the patients divided according to MRA and
CT angiography into two groups (aneurysmal and non-aneurysmal)
sociodemographic data, incidence of complications are compared
between the two groups using CT follow up to diagnose rebleeding,
symptomatic vasospasm &hydrocephalus, EEG to record abnormal brain
activity, Wechseler memory scale to detect cognitive impairment, Beck
scale to diagnose depression, modified Rankin scale for disability &
Fisher scale for estimation of the degree of hemorrhage, study
complications in relation to degree of hemorrhage.
The results showed that :
•Age & vascular risk factors (hypertention & smoking) are
significantly higher with non-aneurysmal subarachnoid
hemorrhage.
•Subacute hydrocephalus was significantly correlated to degree of
hemorrhage.
•Attention was significantly affected in aneurysmal than nonaneurysmal
group.
•Cognitive impairment, depression & disability was significantly
higher with SAH fisher grade 3 than grade 2.
•Disability & depression was significantly higher in patients with
vasospasm & hydrocephalus
•Cognitive impairment was significantly higher in patients with
subacute hydrocephalus & lower Glasgow coma scale.