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Subarachnoid Hemorrhage

Subarachnoid Hemorrhage

Neurology

Overview

Subarachnoid hemorrhage is bleeding into the subarachnoid space after rupture of a cerebral blood vessel, an acute hemorrhagic cerebrovascular disease. It most often presents with sudden severe headache, vomiting, and neck stiffness, commonly from a ruptured aneurysm.

Symptoms

  • Sudden severe headache
  • Neck stiffness
  • Vomiting
  • Photophobia
  • Impaired consciousness

Treatment

Enforce strict bed rest, control blood pressure and prevent cerebral vasospasm, and treat aneurysms with endovascular coiling or surgical clipping.

Dietary advice

Eat a bland, easily digestible diet, drink plenty of water to keep bowel movements regular, and avoid spicy foods.

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