The frequency and impact of tramadol addiction on acute aneurysmal subarachnoid hemorrhage: cross-sectional multicenter study

Abstract Background Arterial hypertension, cigarette smoking, excessive alcohol abuse and drug addiction such as cocaine all are known risk factors for aneurysmal subarachnoid hemorrhage (SAH). However, there is little information on whether tramadol should also be considered a factor SAH. The purpose of this study was to investigate the prevalence impact symptomatology intracranial We recruited 237 cases with acute ASH mean age 52.3 ± 11.8 ranging from 17 86 years old. Results There were 124 males 113 females; 43 had history (18.1%). Tramadol addicts significantly younger, more likely male (97.7%), commonly associated seizure onset compared non-addicts. Multiple aneurysms, wide neck, sizable aneurysms common in than non-tramadol dissecting aneurysms. high association SAH addiction, especially young patients. Conclusions might regarded modifiable worse presentation addicts. If finding proved, it will great importance managing patients ruptured un-ruptured available over-counter some countries, studies needed.