Subarachnoid Haemorrhage

Question 0

Signs and symptoms of subarachnoid haemorrhage

Answer 0

Sudden onset occipital headache

Nausea vomiting

Loss or impaired consciousness

Hypertension

Focal neurological signs

Seizures

Papilloedema

Neck stiffness

Question 1

Diagnosis of subarachnoid haemorrhage

Answer 1

CT/MRI

lumbar puncture

Cerebral angiography - gold standard

Question 2

Management of subarachnoid haemorrhage

Answer 2

Supportive measures

Surgery

Medical treatment to avoid further bleeds or ischaemia

C/s for obstetric reasons only

Short second stage

Regional anaesthetic recommended unless recent event where there is risk of increased infra cranial pressure