Subarachnoid Haemorrhage

Question 1

Location of subarachnoid haemorrhage within the mater

Answer 1

Between pia mater and arachnoid membrane

Question 2

Definition of thunderclap headache in subarachnoid haemorrhage

Answer 2

Sudden onset occipital headache during strenuous exercise

Question 3

Other features in thunderclap headache

Answer 3

Meningitis symptoms

Question 4

Drugs that + risk of subarachnoid haemorrhage

Answer 4

Cocaine

Question 5

Conditions that increase the risk of subarachnoid haemorrhage

Answer 5

• sickle cell anaemia
• connective tissue disorder
• neurofibromatosis
• AD PCKD

Question 6

Race, gender and age most at risk of subarachnoid haemorrhage

Answer 6

• black
• female
• 45-70

Question 7

What does CT show in subarachnoid haem

Answer 7

Hyperattenuation in subarachnoid space

Question 8

When to carry out LP to Dx subarachnoid haemorrhage

Answer 8

-ve CT

Question 9

Describe the change in red cell count in CSF of subarachnoid haem

Answer 9

Increased

Question 10

Why is there xanthochromia in CSF in subarachnoid haemorrhage

Answer 10

CSF yellow due to bleeding

Question 11

Surgical options to treat aneurysms that may lead to haemorrhages

Answer 11

• coiling

- clipping

Question 12

A CCB that can be used to prevent arterial vasospasm

Answer 12

Nimodipine

Question 13

LP/shunt is used to treat

Answer 13

Hydrocephalus