Subarachnoid Haemorrhage-Can We Do Better?
Author(s) -
S. Johnston,
A Hammond,
Luke Griffiths,
Richard Greenwood,
C Clarke
Publication year - 1989
Publication title -
journal of the royal society of medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.38
H-Index - 81
eISSN - 1758-1095
pISSN - 0141-0768
DOI - 10.1177/014107688908201207
Subject(s) - subarachnoid haemorrhage , medicine , subarachnoid hemorrhage , cerebral ischaemia , aneurysm , migraine , intracranial haemorrhage , cranial nerves , radiology , vasospasm , ischemia , anesthesia , surgery , cardiology , complication
Patients with subarachnoid haemorrhage often have warning symptoms which are unrecognized. Specific neurological signs such as cranial nerve palsies due to aneurysm expansion may occur. Sudden and severe ‘out-of-the-blue’ headache following minor haemorrhage may be misinterpreted as migraine. Focal neurological signs from secondary ischaemia may be misinterpreted as thromboembolic events. Computed tomography (CT) head scans can be misleading especially if performed too late.
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