Clinical Recommendations
Evidence-based recommendations adapted for MENA healthcare settings, organized by clinical domain.
Diagnosis & Assessment
We strongly recommend immediate neurological assessment and CT angiography for patients with suspected aSAH to confirm diagnosis and identify aneurysm location.
MENA-Specific Considerations
CT angiography availability varies across MENA countries. Telemedicine consultation should be utilized for image interpretation where local expertise is limited.
For patients with negative CT but high clinical suspicion, we recommend lumbar puncture or MRI to exclude aSAH.
MENA-Specific Considerations
MRI availability is limited in many MENA settings. Lumbar puncture remains the primary alternative when CT is negative.
In resource-limited settings, we strongly recommend establishing clear protocols for urgent patient transfer to centers with neurovascular expertise.
MENA-Specific Considerations
Transfer protocols must account for geographic barriers, security concerns in conflict zones, and family involvement in decision-making.