• Emerg. Med. Clin. North Am. · Nov 2016

    Review

    Subarachnoid Hemorrhage.

    • Michael K Abraham and Wan-Tsu Wendy Chang.
    • Department of Emergency Medicine, University of Maryland School of Medicine, 110 South Paca Street, 6th Floor, Suite 200, Baltimore, MD 21201, USA.
    • Emerg. Med. Clin. North Am. 2016 Nov 1; 34 (4): 901-916.

    AbstractAneurysmal subarachnoid hemorrhage (SAH) is a neurological emergency with high risk of neurological decline and death. Although the presentation of a thunderclap headache or the worst headache of a patient's life easily triggers the evaluation for SAH, subtle presentations are still missed. The gold standard for diagnostic evaluation of SAH remains noncontrast head computed tomography (CT) followed by lumbar puncture if the CT is negative for SAH. Management of patients with SAH follows standard resuscitation of critically ill patients with the emphasis on reducing risks of rebleeding and avoiding secondary brain injuries.Copyright © 2016 Elsevier Inc. All rights reserved.

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