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Subarachnoid hemorrhage Causes : -Trauma -Trauma -Spontaneous, ruptured aneurysms,AVM, vacuities, tumors, coagulation disorders,cerebral artery dissection, sickle cell disease, drugs, spinal AVM -Spontaneous, ruptured aneurysms,AVM, vacuities, tumors, coagulation disorders,cerebral artery dissection, sickle cell disease, drugs, spinal AVM
Aneurysmal SAH ANNUAL RATE 10-30% 10%DIE BEORE REACHIUNG THE HOSPITAL Peak age 55-60 years 20% can occur in age 15-45y Old age has a higher proportion with a severe neurological grade
Risk factors for SAH Hypertension Oral contraceptives Substance abuse pregnancy and parturition
Outcome 10% die 10%mortality within first few days 30% moderate to severe disability
Clinical picture HeadacheMeningismusComa Ocular haemorrhage
GRADING SAH Hunt& Hess G1 asymptomatic G2 moderate to severe headache nuchal rigidity nuchal rigidity G3 confusion G4 Stupor moderate to severe hemiparasis G5 deep coma
G0: unruptured G1a
ManagementConcerns Monitoring and tubes Admitting orders I V fluids MedicationOxygen Hyponatremia& cardiac problems
Rebleeding Vasospasm( DIND)
TREATMENT OF VASOSPASM PREVENTION HYPERDYNAMIC THERAPY Hypertension, hypervolemia hemodilution
Cerebral aneurysm Treatment options
Subarachnoid hemorrhage extravasation of blood into the subarachnoid space between the pial and arachnoid membranes.
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Medical Surgical Nursing II. Subarachnoid Hemorrhage (SAH) Description Bleeding into the subarachnoid space ○ Rupture of a cerebral aneurysm ○ Rupture.
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STROKESTROKESTROKESTROKE. Why Change? Improve Mortality Improve Mortality Devastating and Life Altering Devastating and Life Altering Cost expense of.
Basilar Artery Anterior inferior cerebellar artery Superior cerebellar artery Posterior cerebral artery –Posterior choroidal arteries Blood supply to.
Hemorrhagic stroke. Alternative names brain bleeding brain hemorrhage stroke – hemorrhagic hemorrhagic cerebrovascular disease.
Eclampsia/postpartum angiopathy epilepsy Cerebrovascular accidents Hemorrhage Ruptured aneurysm or malformation Arterial embolism or thrombosis Cerebral.
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Behavioral Objectives To make the student define the stroke. To make the student learn the types of stroke. To make the student Know who are the.
Chapter 35 Stroke. Stroke: occurs when blood flow to the brain is interrupted by a clot in a artery or other vessel. When this occur brain cells begin.
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T. Nakazawa, Y. Takeichi *, T. Yokoi, T. Fukami, J. Jito, N. Nitta, K. Takagi, K. Nozaki Shiga University of Medical Science, Department of Neurosurgery;
Management of Subarachnoid Hemorrhage Gregory W Balturshot, M.D. Central Ohio Neurological Surgeons May 24, 2013.
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Intracranial hemorrhages Siti hazaimah. Intracranial hemorrhages Classification in function of location: - Epidural - Subdural - Subarachnoid - Intracerebral/
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Symptoms, Causes, and Treatments. Severe headache Fatigue or confusion Vision Problems.
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Intracerebral Hemorrhage Dr. Bashar Shaker. Intracerebral hemorrhage is focal bleeding from a blood vessel in the brain parenchyma. The cause is usually.
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Left facial numbness Ann Schmidt Oct Patient Presentation 54 yo female 54 yo female Left facial swelling, left leg swelling and left arm weakness.
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Presentation: eP-26. There is no conflict of interest in this presentation.
Neurotrauma Radiology. What is this? Extradural haematoma Any patients Usually high impact Usually associated fracture Arterial bleed – peels dura off.
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