lecture 2: subarachnoid hemorrhage

Question 1

rupture of a cerebral aneurysm is called

Answer 1

subarchnoid hemorrhage aneurysm

Question 2

is subarchnoid hemorrhage an emergency

Answer 2

SAH is an neurological emergency

Question 3

what can subarachnoid hemorrhage lead to

Answer 3

rarely, but stroke

Question 4

where does bleeding occur for subarachnoid hemorrhage

Answer 4

bleeding occur between arachnoid and pia mater

Question 5

appearance of SAH

Answer 5

spider-web appearance

Question 6

most common cause of SAH

Answer 6

other than head trauma, rupture of saccular aneurysm

Question 7

saccular ‘berry’ aneurysm different shapes and sizes

Answer 7

• round connected to patrent artery by stalk
• broad based without stalk
• cylindrical form

Question 8

sah can cause stroke. yes or no

Answer 8

yes

Question 9

a ct is great for dx of sah. but if ct is negative but sah is still heavily suspected; what dx test should be conducted

Answer 9

lumbar punture

Question 10

if ct AND lumbar puncture are inconclusive, what is the last resort

Answer 10

cerebral angiography

Question 11

complications of sah include

Answer 11

• re reputure
• decreased ca+ in blood ( hyponatremia)
• hydrocephalus
• vasospasm

Question 12

managemnt of sah includes

Answer 12

bed rest
maintainace of clear airway
managing bp
fluid
monitor ca+ levels
prevention of vasospasm
lower intracranial pressure

Question 13

what helps tx vasospasm

Answer 13

Nimodipine