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Sub-Arachnoid Haemorrhage

From Mediwikis

Affects younger folks, often by rupture of a Saccular aneurysm. Smoking, High BP, and previous bleeding problems can all precipitate an SAH.

  • Symptoms: "Thunderclap" occipital headache, sometimes preceded by Sentinal headaches: like being hit over the back of the head. Followed by altered consciousness, focal neurology.
  • Signs: Kernig's Sign (See above), pupil/ local nerve signs.
  • Tests: Urgent CT, Bloody CSF
  • Management: Neurosurgery, hydration, Nimodipine