subarachnoid haemorrhage Flashcards
1
Q
what
A
bleeding into subarachnoid space where CSF is
2
Q
usually result of…
A
ruptured cerebral aneurysm
3
Q
features
A
thunderclap headache neck stiffness photophobia vision changes neuro Sx e.g. speech changes, weakness, seizures, loss consciousness
4
Q
risk factors
A
htn smoking excessive alcohol cocaine use FHx
5
Q
more common in
A
black patients
females
age 45-70
6
Q
particularly assoc with
A
cocaine use sickle cell anaemia connective tissue disorders neurofibromatosis autosomal dom PKD
7
Q
Ix
A
CT head
LP
angiography (MR or CT)
8
Q
LP findings
A
red count raiased
xanthochromia
9
Q
Mx
A
surgical intervention for aneurysms - coil or clip
nimodipine - CCB to prevent vasospasm
