What caused this subarachnoid hemorrhage?

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Subarachnoid hemorrhage is the least common cause of stroke, accounting for approximately 3% of cases. Primary subarachnoid hemorrhage is due to rupture of a vessel within the cerebrospinal fluid-containing subarachnoid space on the outer surface of the brain. Although 85% of primary subarachnoid hemorrhages are due to rupture of saccular aneurysms, with an additional 5% due to arteriovenous malformations, dural arteriovenous fistulas and mycotic aneurysm, no culpable lesion is identified in 10% of cases. Many processes affecting the brain parenchyma can cause secondary subarachnoid hemorrhage by extension of bleeding across the pia membrane, most notably spontaneous lobar intracerebral hemorrhages. Familiarity with the various causes of subarachnoid hemorrhage, their characteristic presentations, and use of a systematic approach to neuroimaging will readily identify the correct diagnosis in most cases.

Original languageEnglish (US)
Title of host publicationWarlow’s Stroke
Subtitle of host publicationPractical Management
Publisherwiley
Pages437-454
Number of pages18
ISBN (Electronic)9781118492390
ISBN (Print)9781118492222
DOIs
StatePublished - Jan 1 2019

Keywords

  • Aneurysm
  • Angiography
  • Arteriovenous malformation
  • Cause
  • Diagnosis
  • Dural arteriovenous fistula
  • Etiology
  • Subarachnoid hemorrhage

ASJC Scopus subject areas

  • Medicine(all)

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