Is subarachnoid hemorrhage considered a minor injury?

Written by Tang Bo
Neurology
Updated on September 04, 2024
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Subarachnoid hemorrhage depends on the amount of bleeding and the location to determine the severity of the condition. It can be life-threatening in severe cases. If symptoms such as headache and severe vomiting occur, the possibility of subarachnoid hemorrhage should be considered. Initially, a cranial CT scan should be conducted to confirm the diagnosis. Further investigations should include cranial MRI or CTA vascular imaging, preferably CTA, to determine whether there is rupture bleeding caused by an aneurysm. In such cases, it is necessary to consider whether emergency surgery is required, based on the amount of bleeding and the condition of the blood vessels, and the possibility of an aneurysm to guide further treatment.

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Written by Zhang Hui
Neurology
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Does subarachnoid hemorrhage require surgery?

Subarachnoid hemorrhage is a rather dangerous disease with very high mortality and disability rates. It mainly manifests as sudden severe headaches, nausea, and vomiting, and complications such as bleeding, cerebral vasospasm, and electrolyte disorders can occur. The most common cause of subarachnoid hemorrhage is due to the rupture of an aneurysm. Therefore, it is generally advocated that patients with subarachnoid hemorrhage undergo surgery as soon as possible. The surgical method mainly involves local anesthesia, and a complete cerebral angiography is performed to check for the presence of an aneurysm. If an aneurysm is present, an interventional embolization can be performed, which causes less trauma and generally has a better prognosis. If there is a large amount of bleeding and the patient's life is in danger, a craniotomy may also be necessary. Thus, patients with subarachnoid hemorrhage need to undergo surgical treatment.

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Written by Wang Li Bing
Intensive Care Medicine Department
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Clinical manifestations of subarachnoid hemorrhage

The main clinical manifestations of subarachnoid hemorrhage are sudden severe headache, accompanied by nausea and vomiting, with positive signs of meningeal irritation. If such symptoms occur, it is urgent to seek medical attention and perform a cranial CT scan. If the CT shows a high-density shadow in the subarachnoid space, it can be diagnosed as subarachnoid hemorrhage, and the patient should be treated in neurology or neurosurgery for active management. Clinically, conservative medication treatment is generally adopted, paying attention to changes in the patient's consciousness and pupils, and surgical treatment may be considered if necessary.

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Written by Zhang Hui
Neurology
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Does subarachnoid hemorrhage have a genetic component?

Subarachnoid hemorrhage, this disease does not have a significant genetic tendency, so there is no need to worry excessively. The main cause of the bleeding is the rupture of an aneurysm, which is due to abnormal blood vessel development resulting in fusiform aneurysms that rupture and bleed under certain conditions. Additionally, there are other causes of subarachnoid hemorrhage, such as long-term smoking which can cause arterial disease, some arteriovenous malformations are also prone to rupture and bleed, and some traumatic injuries can also lead to subarachnoid hemorrhage; these are not hereditary. Subarachnoid hemorrhage is a rather dangerous condition, so it is essential to control risk factors, properly manage blood pressure, and absolutely avoid smoking. If severe headaches, nausea, and vomiting occur, it is crucial to be highly vigilant and seek medical attention at a hospital immediately.

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Written by Zhang Hui
Neurology
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Complications of subarachnoid hemorrhage

Subarachnoid hemorrhage is a relatively serious condition. Most patients suffer from this due to the rupture of an aneurysm, while others may have arteriovenous malformations. This disease is associated with complications, with common ones including the following. First, there are acute complications of subarachnoid hemorrhage. Patients usually experience severe pain and vomiting again after their condition stabilizes, and the mortality rate significantly increases. The second complication is cerebral vasospasm, which typically peaks between three days and two weeks. Cerebral vasospasm can easily lead to vascular occlusion and the subsequent formation of cerebral thrombosis. The third type includes acute or subacute hydrocephalus. Additionally, seizures and electrolyte disorders may also occur as complications.

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Written by Zhang Hui
Neurology
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Causes of subarachnoid hemorrhage

Subarachnoid hemorrhage is a very dangerous disease, in which patients experience severe headaches, noticeable nausea, vomiting, restlessness, and agitation. If the bleeding is extensive, the patient can quickly become comatose and may develop serious complications such as cerebral vasospasm and hydrocephalus. Common causes of cerebral hemorrhage include: First, cerebral aneurysms. Cerebral aneurysms are the most common cause of subarachnoid hemorrhage and may be related to congenital developmental abnormalities or acquired factors such as smoking. Second, arteriovenous malformations, which are also a common cause of bleeding. Third, there are other causes, such as trauma or coagulation disorders, and long-term use of anticoagulant medications may also be contributing factors.