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SAH
(Subarachnoid Hemorrhage)
The master: Dr.Rouhani
Produced by: Reza Masrouri
Definition
Etiology
• Aneurysm
• Trauma and dissection
• AVM (Arteriovenous Malformation)
Aneurysm
• Definition and etiology
• Location
• Pathophysiology
Trauma and AVM
• Dissection of cervical arteries because of head trauma
• Congenital AVM and abnormal connection between arteries and veins
Signs and symptoms
• Hunt and Hess scale
• The worst headache
Diagnosis
•CTscan
•Lumbarpuncture
•Angiography
Treatment
• ICU
• Intubation , Hemodynamic control , VS for grade 4 & 5 of hunt-Hess
• Aneurysm:
1.clip
2.coil
Side effects
• Neurogenic damage
• Vasospasm and CVA
• 50% of patient will die in first month
• 50% can be cured but just 1/3 of them can live like their past
THANKS FOR YOUR ATTENTION

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SAH