SUBARACHNOID HAEMORRHAGE

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SUBARACHNOID HAEMORRHAGE
CAUSES

1. ANEURYSM AND AVM
2. TRAUMA
3. INFECTIONS
4. NEOPLASIA
5. TOXIC
6. INFLAMMATORY
7. DEGENERATIVE

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CLINICAL FEATURES
WARNING SYMPTOMS---HEADACHE,DIZZINESS,ORBITAL
PAIN,DIPLOPIA,LOSS OF VISION,MOTOR AND
SENSORY DEFICIT,FITS,CRANIAL NERVE PALSY(3
NERVE),DYSPHASIA SYMPTOMS OF SAH---
MENINGISM,NAUSEA,VOMOTING, OCCIPITAL
HEADACHE,LATERAL HEADACHE,DYSPHASIA CONFUSION,INTR
A-OCULAR PAIN,ANISOCORIA,PAPILLEDEMA HOMONYMUS
HEMIANOPSIA,3 NERVE PALSY, THROMBOEMBOLIC
PHENOMENON GIANT ANEURYSMS AS SOL MULTIPLE
CRANIAL NERVE PALSIESH
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CEREBRAL VASOSPASM

1. BLOOB CLOT AND DEGRADATION PRODUCT
2. OXY HAEMOGLOBIN ,METHEMGLOBIN
3. SEROTONIN,FDP,IRON,THROMBOXONA2,CATECHOLAMINE,PROS
   TAGLANDIN,ANGIOTENSIN,VASOPRESSIN,POTASSIUM,FALL
   IN NITRIC OXIDE,RISE IN ENDOTHELIN

• TREATED BY
• 3H Hypertension,Hypervolemia,Haemodilution
• Calcium Channel blocker nimodipine nicardipine
  etc
• Clot removal
• Baloon angioplasty

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TREATMENT OPTIONS

• Microsurgical clipping
• GDCOIL
• Embolization and excision of avm
• Gamma Knife
• Treatment of other conditions according to their
  pathologies
• ICU