Original Article

Analysis of Patients Applying to the Emergency Department with Subarachnoid Hemorrhage and Relationship Seasonal Variation


  • Hüseyin Narcı
  • Jale Kesen Birinci
  • Murat Uğur
  • Hüküm Uzun

Received Date: 08.01.2011 Accepted Date: 15.07.2011 Eurasian J Emerg Med 2012;11(1):11-14


In this study, it was aimed to investigate epidemiological and clinical features and the seasonal changes in patients with subarachniod hemorrhage (SAH).

Material and Methods:

The history of 67 patients applying to the emergency department with primary SAH for 2 yearswas investigated retrospectively. Symptoms causing application; hour, month and season of application; accompaying diseases, screening methods, and vital findings of each patient were recorded.


Of 67 patients, 41 were men and 26 were female. The most frequent symptoms on admission were headache and confusion (41.1%). Among thedisorders accompanying SAH, hypertention ranked the first (35.81%). While 30 of all cases applied between 06 and 12 o’clock (p<0.05), the highest application rates were in Autumun with 24 cases (p>0.05). Brain CT was within normal limits in 6 patients, and cerebrospinal fluid readings were hemorrhagic in all patients on performing lumbar puncture.


We did not find any significant statistical relation between seasonal variation and SAH. We found a significant statistical relation between morning hours and SAH. SAH is a serious condition with high mortality. Early screening is signicant during the first 24-hour period. The regulation of BP, especially in patients with hypertension, is very important. In patients applying to emergency departments with the complaints of severe headache and confusion, SAH should be taken into cosideration.

Keywords: Subarachnoid hemorrhage, primary, epidemiologic, seasonal, clinical