Introduction: Tramadol is an opioid analgesic which in the last few years become the most popular recreational drug causing addiction becoming a serious problem in Egyptian society , Aneurysmal subarachnoid haemorrhage is major neurosurgical emergency with high rates of mortality and morbidity.
Methods: Retrospective analysis carried out on 104 patients of whom were 14 tramadol addicts variables examined were age at presentation, risk factors, clinical presentation, hunt and hess grade and fisher grade at presentation Karnofski performance score at presentation and 6 month post procedure both groups were compared for base variables and a p value less than 0.05 was considered significant
Results: Age of presentation was younger in tramadol addicts than non addicts p value less than 0.05
Karnofski score 6 months post procedure was worse in tramadol addicts than non addicts p value less than 0.1
Conclusions: This study demonstrate that aneurysmal subarachnoid haemorrhage takes place at a younger age and is associated with a significantly poorer outcome than compared to non tramadol addict assessed 6 months post procedure using Karnofski performance score
Patient Care: early cerbero-vascular screening of patients who has history of tramadol addiction
Learning Objectives: By the conclusion of this session, participants should be able to understand the relation between tramadol and subarachnoid haaemorrhage