Subarachnoid haemorrhage

@article{Gijn2007SubarachnoidH,
  title={Subarachnoid haemorrhage},
  author={Jan C van Gijn and Richard S. C. Kerr and Gabriel J E Rinkel},
  journal={The Lancet},
  year={2007},
  volume={369},
  pages={306-318}
}
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490 Citations
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Background Citations
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Results Citations
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490 Citations

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Effec tive headache management in the aneurysmal subarachnoid patient: a literature review

This paper summarises the findings of a literature review conducted as part of a research study to examine existing practices in the assessment and management of headache in patients with aSAH in an Irish Neurosciences Centre, and demonstrates that despite a wealth of published literature on the diagnosis and management, evaluation andmanagement of its main symptom, headache, remains suboptimal and under-researched.

Magnesium in subarachnoid haemorrhage: proven beneficial?

Magnesium is a promising agent to prevent the occurrence of secondary ischemia and to improve outcome in patients with SAH and two large phase Il trials are being conducted that will hopefully provide definite evidence whether magnesium treatment is beneficial in SAH patients.

Warfarin-induced isolated spontaneous subarachnoid hemorrhage: Rare case report

Isolated spinal artery aneurysm: a rare culprit of subarachnoid haemorrhage.

The case of a 74-year-old man presenting with sudden onset of chest pain radiating to the neck and back, with subsequent headache and confusion is described and a thrombosed intradural spinal aneurysm with surrounding sentinel clot is demonstrated.

The Clinical Aspects of Subarachnoid Hemorrhage

The authors reviewed the recent advances in the clinical aspects of SAH and grading system of the available evidence is included.

Recognition and evaluation of nontraumatic subarachnoid hemorrhage and ruptured cerebral aneurysm.

The most important risk factors for subarachnoid hemorrhage include cigarette smoking, hypertension, heavy alcohol use, and personal or family history of aneurysm or hemorrhagic stroke.

Diagnosis, Medical Management, and Complications of Aneurysmal Subarachnoid Hemorrhage

The clinical hallmark of aSAH, in an awake patient, is the complaint of the sudden onset of the “worst headache of life” (Bassi P, Acta Neurol Scand 84(4):277–81, 1991), which is preceded 7–30 days by a warning or sentinel headache.

SUBARACHNOID HEMORRHAGE

Decisions about treatment for aneurysms and about the management of aneurYSmal subarachnoid hemorrhage sequelae are best made at high‐volume centers by experienced surgeons, interventionalists, and neurologic intensive care experts.

Clinical Signs and Symptoms of Subarachnoid Hemorrhage Signs at presentation Patient experiences the worst headache of his or her life

If there is reasonable suspicion of SAH, the patient should be urgently transferred to a highvolume treatment center that has experienced surgeons, because these centers have been associated with better outcomes.
...

References

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Once ischaemia has occurred, treatment regimens such as a combination of induced hypertension and hypervolaemia, or transluminal angioplasty, are plausible, but of unproven benefit.

Prospective study of sentinel headache in aneurysmal subarachnoid haemorrhage

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Characteristics of intracranial aneurysms and subarachnoid haemorrhage in patients with polycystic kidney disease

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