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1. Introduction
2. Sudden headache
3. Three parts of talk
4. Features from the history
5. SAH - physical signs
6. Hospital
7. Diagnosis in general practice
8. Causes of sudden headache
9. EMI scan
10. Intracranial venous thrombosis
11. Anatomy of cerebral veins
12. Venous thrombosis on CT
13. CVST on MRI
14. Arterial dissection
15. Dissection of carotid artery
16. Colloid cyst of 3rd ventricle
17. Example of colloid cyst of 3rd ventricle
18. Meningitis and traumatic brain contusion
19. Example of traumatic brain contusion
20. Two conditions before discharge - condition 1
21. Rapid clearance of blood
22. Subtle SAH: MCA and ACoA aneurysm
23. Two conditions before discharge - condition 2
24. Modern CT scanners may also miss SAH
25. Timing of LP is crucial
26. Problem: traumatic tap
27. Metabolism of haemoglobin
28. Xanthochromic CSF
29. Part 2: causes
30. Ruptured aneurysm: 85%
31. Common aneurysm sites
32. Suprasellar cisterns
33. Ruptured aneurysm of ACoA
34. Ruptured aneurysm of internal carotid artery
35. Ruptured aneurysm of middle cerebral artery
36. Ruptured aneurysm of basilar artery
37. Angiogram
38. Is catheter angiography still needed?
39. CT angiography
40. Perimesencephalic haemorrhage: 10%
41. Characteristics of perimesencephalic haemorrhage
42. CTA is sufficient with PMH
43. Rare conditions: 5%
44. Arterial dissection
45. Part 3: management
46. Rebleeding
47. Multiple rebleeds
48. Norman Dott
49. Walter Dandy
50. Gazi Yasargil
51. Coils
52. ISAT trial (coiling vs. clipping)
53. Coiling of basilar artery aneurysm
54. Impaction of coils
55. Delayed cerebral ischaemia
56. Example of delayed cerebral ischaemia
57. Vasospasm
58. Determinants of delayed cerebral ischaemia
59. Prevention of cerebral ischaemia after SAH
60. Hydrocephalus
61. Example of acute hydrocephalus
62. Acute hydrocephalus: clinical features
63. Parinaud syndrome
64. Decreased level of consciousness
65. Acute hydrocephalus: management
66. Medical complications
67. Pulmonary edema
68. Cardiac arrhythmias
69. Lancet review and reference list
70. 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

Series:

• Cerebrovascular Disease

Categories:

• Clinical Practice
• Neuroscience

Therapeutic Areas:

• Neurology

Talk Citation

Publication History

• Published on October 27, 2008
• Archived on December 10, 2018

Financial Disclosures

• Prof. Jan van Gijn has not informed HSTalks of any commercial/financial relationship that it is appropriate to disclose.