Neurology 3 - Subarachnoid Haemorrhage

Question 1

core symptoms of subarachnoid haemorrhage

Answer 1

sudden onset thunderclap headache
photophobia
neck stiffness
focal neurology

Question 2

LP in subarac

Answer 2

raised cell count
xanthochromia

(if sequentially decreasing through 3 LP bottles, suggests traumatic tap)

Question 3

management of subarachnoid bleed

Answer 3

angiography to locate source

refer to specialist neurosurgical unit

nimodipine to prevent vasospasm

coiling (endovascular)

or clipping (open)

Question 4

treating complications of SAH

Answer 4

LP shunt can deal with hydrocephalus

anti-epileptics for any seizures