Presentation is loading. Please wait.

Presentation is loading. Please wait.

Subarachnoid hemorrhage Causes : -Trauma -Trauma -Spontaneous, ruptured aneurysms,AVM, vacuities, tumors, coagulation disorders,cerebral artery dissection,

Similar presentations


Presentation on theme: "Subarachnoid hemorrhage Causes : -Trauma -Trauma -Spontaneous, ruptured aneurysms,AVM, vacuities, tumors, coagulation disorders,cerebral artery dissection,"— Presentation transcript:

1 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

2 Aneurysmal SAH ANNUAL RATE 10-30% 10%DIE BEORE REACHIUNG THE HOSPITAL Peak age years 20% can occur in age 15-45y Old age has a higher proportion with a severe neurological grade

3 Risk factors for SAH Hypertension Oral contraceptives Substance abuse pregnancy and parturition

4 Outcome 10% die 10%mortality within first few days 30% moderate to severe disability

5 Clinical picture HeadacheMeningismusComa Ocular haemorrhage

6

7 Investigations ImagesLPANGIOMR-ANGIO

8

9 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

10 G0: unruptured G1a

11 ManagementConcerns Monitoring and tubes Admitting orders I V fluids MedicationOxygen Hyponatremia& cardiac problems

12 Rebleeding Vasospasm( DIND)

13 TREATMENT OF VASOSPASM PREVENTION HYPERDYNAMIC THERAPY Hypertension, hypervolemia hemodilution

14 Cerebral aneurysm Treatment options

15


Download ppt "Subarachnoid hemorrhage Causes : -Trauma -Trauma -Spontaneous, ruptured aneurysms,AVM, vacuities, tumors, coagulation disorders,cerebral artery dissection,"

Similar presentations


Ads by Google