Subarachnoid hemorrhage

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In medicine a subarachnoid hemorrhage, is an intracranial hemorrhage that is "bleeding into the intracranial or spinal subarachnoid space, most[ly] resulting from intracranial aneurysm rupture. It can occur after traumatic injuries (subarachnoid hemorrhage, traumatic). clinical features include headache; nausea; vomiting, nuchal rigidity, variable neurological deficits and reduced mental status."[1]

Diagnosis

A subarachnoid hemorrhage should be considered in patients in the emergency room with any of the following features:[2]

  • age of 40 or more years
  • neck pain or stiffness
  • loss of consciousness
  • onset of headache with exertion
  • arrival by ambulance
  • vomiting
  • systolic blood pressure >160 mm Hg or diastolic blood pressure >100 mm Hg


References

  1. Anonymous (2024), Subarachnoid hemorrhage (English). Medical Subject Headings. U.S. National Library of Medicine.
  2. Perry JJ, Stiell IG, Sivilotti ML, Bullard MJ, Lee JS, Eisenhauer M et al. (2010). "High risk clinical characteristics for subarachnoid haemorrhage in patients with acute headache: prospective cohort study.". BMJ 341: c5204. DOI:10.1136/bmj.c5204. PMID 21030443. PMC PMC2966872. Research Blogging.