Give nimodipine as soon as the diagnosis is confirmed to prevent delayed cerebral ischaemia and improve outcomes.Įarly diagnosis and securing the aneurysm within 48 hours are associated with a lower risk of rebleeding and lower disability rates than delayed aneurysm treatment (i.e., after 48 hours). In patients with a Glasgow Coma Scale score of ≤8 or falling, stabilise and investigate at the same time. Use cerebral angiography to identify the causal pathology, define the anatomy of the aneurysm, and plan specific treatment. Order an emergency non-contrast computed tomography (CT) head scan for all patients with suspected SAH if CT is negative or inconclusive, order a lumbar puncture (performed at least 12 hours after the onset of symptoms). Tabel Skor Fisher1.Subarachnoid haemorrhage (SAH) presents as a sudden, severe headache that peaks within 1 to 5 minutes (thunderclap headache) and lasts more than an hour typically alongside vomiting, photophobia, and non-focal neurological signs.Įxamination may be normal or may reveal altered consciousness, meningismus, ocular findings (e.g., intraocular haemorrhages), or focal findings (e.g., unilateral loss of motor function, loss of visual field, aphasia). Mengklasifikasikan perdarahan subarachnoid berdasarkan munculnya darah di kepala pada pemeriksaan CT scan. Penyakit ini menyerang tanpa ada peringatan dan merupakan salah satu jenis stroke perdarahan yang jarang tetapi mematikan.
Perdarahan subarachnoid atau brain haemorrhage adalah perdarahan di bagian permukaan otak, tepatnya di antara otak dan jaringan yang melapisi otak.
It can cause a stroke, and it is fatal in of cases. It is usually caused by a ruptured aneurysm.
#Pdf perdarahan subarachnoid pdf#
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