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Medical Health Encyclopedia
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Central nervous system
Central nervous system


Subarachnoid hemorrhage

Alternative Names:
Hemorrhage - subarachnoid

Symptoms:
  • Headache
    • Sudden onset
    • Described as the "worst ever experience"
    • Can be preceded by a popping or snapping sensation in the head
    • Pain described as a new type
    • Generalized pain, often worse near the back of the head
  • Nausea and vomiting may accompany the headache
  • Decreased consciousness and alertness
    • Temporary or progressively worsens to coma and death
  • Difficulty seeing or changes in vision
  • Stiff neck
  • Photophobia (light bothering or hurting the eyes)
  • Muscle aches (especially neck pain and shoulder pain)
  • Seizure or spell
  • Difficulty or loss of movement or sensation of a part of the body
  • Changes in mood and personality

Additional symptoms that may be associated with this disease:



Signs and tests:
Text Continues Below



About 30% of patients with SAH are misdiagnosed at first. If subarachnoid hemorrhage is suspected, a computed tomography (CT) scan (without dye contrast) of the head should be immediately performed. In some cases, the head CT scan may be normal, especially if there has only been a small bleed. If the CT scan is normal, a lumbar puncture (spinal tap ) must be performed. Patients with SAH will have blood in their spinal fluid.

Cerebral angiography of blood vessels of the brain may show small aneurysms or other vascular problems. This test can pinpoint the exact location of the bleed.

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