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Printable Handouts
Navigable Slide Index
- Introduction
- Sudden headache
- Three parts of talk
- Features from the history
- SAH - physical signs
- Hospital
- Diagnosis in general practice
- Causes of sudden headache
- EMI scan
- Intracranial venous thrombosis
- Anatomy of cerebral veins
- Venous thrombosis on CT
- CVST on MRI
- Arterial dissection
- Dissection of carotid artery
- Colloid cyst of 3rd ventricle
- Example of colloid cyst of 3rd ventricle
- Meningitis and traumatic brain contusion
- Example of traumatic brain contusion
- Two conditions before discharge - condition 1
- Rapid clearance of blood
- Subtle SAH: MCA and ACoA aneurysm
- Two conditions before discharge - condition 2
- Modern CT scanners may also miss SAH
- Timing of LP is crucial
- Problem: traumatic tap
- Metabolism of haemoglobin
- Xanthochromic CSF
- Part 2: causes
- Ruptured aneurysm: 85%
- Common aneurysm sites
- Suprasellar cisterns
- Ruptured aneurysm of ACoA
- Ruptured aneurysm of internal carotid artery
- Ruptured aneurysm of middle cerebral artery
- Ruptured aneurysm of basilar artery
- Angiogram
- Is catheter angiography still needed?
- CT angiography
- Perimesencephalic haemorrhage: 10%
- Characteristics of perimesencephalic haemorrhage
- CTA is sufficient with PMH
- Rare conditions: 5%
- Arterial dissection
- Part 3: management
- Rebleeding
- Multiple rebleeds
- Norman Dott
- Walter Dandy
- Gazi Yasargil
- Coils
- ISAT trial (coiling vs. clipping)
- Coiling of basilar artery aneurysm
- Impaction of coils
- Delayed cerebral ischaemia
- Example of delayed cerebral ischaemia
- Vasospasm
- Determinants of delayed cerebral ischaemia
- Prevention of cerebral ischaemia after SAH
- Hydrocephalus
- Example of acute hydrocephalus
- Acute hydrocephalus: clinical features
- Parinaud syndrome
- Decreased level of consciousness
- Acute hydrocephalus: management
- Medical complications
- Pulmonary edema
- Cardiac arrhythmias
- Lancet review and reference list
- Acknowledgements
Topics Covered
- Clinical features
- Physical signs
- Investigations, especially by means of computed tomography and lumbar puncture
- Causes
- Re-bleeding and its prevention
- Delayed ischaemia
- Acute hydrocephalus
- Medical complications
Links
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Talk Citation
van Gijn, J. (2008, October 27). Subarachnoid haemorrhage [Video file]. In The Biomedical & Life Sciences Collection, Henry Stewart Talks. Retrieved November 7, 2024, from https://doi.org/10.69645/QKOI7402.Export Citation (RIS)
Publication History
Financial Disclosures
- Prof. Jan van Gijn has not informed HSTalks of any commercial/financial relationship that it is appropriate to disclose.