Week 2 - Headache in a middle aged woman

Question 1

What important diagnosis should have been considered and excluded in this patient?

Answer 1

Question 2

What will you look for on your examination?

Answer 2

Question 3

What is the abnormality on this retinal photograph? What is its significance?

Answer 3

Question 4

What is the abnormality and what is its significance?

Answer 4

These are plain CT scans of the brain. There is evidence of subarachnoid blood (which is white) in the basal cisterns, the interhemispheric fissure (anteriorly) and is most prevalent in the Sylvanian fissure. There is no evidence of infarction.

Question 5

What does this investigation show? How does the finding relate to her symptoms of severe sudden onset headache, N+V, sudden collapse and unconciousness?

Answer 5

Question 6

What is a major potential complication of SAH and how can it be prevented?

Answer 6

Question 7

What options other than surgery exist for preventing rupture of cerebral arterial aneurysms?

Answer 7

Question 8

Subarachnoid Haemorrhage:
- Epidemiology?
- Clinical features?
- Treatment?

Answer 8

Question 9

Define:
- Subarachnoid haemorrhage?
- Intracerebral haemorrhage?
- Intracranial haemorrhage?
- Haemorrhagic stroke?
- Intravascular haemorrhage?

Answer 9

Question 10

Epidemiology of traumatic and non-traumatic SAH?

Answer 10

Question 11

Aetiology of SAH?

Answer 11

Question 12

Clinical classification of aneurysm SAH?

Answer 12

Question 13

Clinical features of SAH?

Answer 13

Question 14

What is the diagnostic approach to SAH?

Answer 14

Question 15

What is the gold standard investigation for SAH?
- Indication?
- Timing?
- Defining feature?

Answer 15

Question 16

What are the 2 options for Intracranial aneurysm repair?
- Characteristics?
- Indications?
- Procedure?

Answer 16

Question 17

What is Nimodipine? What is it used for?

Answer 17