Subarachnoid haemorrhage (SAH) complications

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Subarachnoid haemorrhage (SAH) complications. Cerebral artery vasospasm, Re-bleeding, Subdural haematomas. Fully referenced neurology checklist.

Vascular complications

  • Cerebral artery vasospasm
  • Re-bleeding
  • Subdural haematomas
  • Parenchymatous haematoma
  • Early brain injury (EBI)
  • Delayed cerebral ischaemia
  • Cerebral infarction
  • Terson’s syndrome: this is vitreous (subhyaloid) haemorrhage

Non-vascular complications

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Systemic complications

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References

  1. Rabinstein AA, Lanzino G, Wijdicks EFM. Multidisciplinary management and emerging therapeutic strategies in aneurysmal subarachnoid haemorrhage. Lancet Neurol 2010; 9:504-519.
  2. Connolly Jr ES, Rabinstein AA, Carhuapoma JR, et al. Guidelines for the management of aneurysmal subarachnoid hemorrhage: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2012; 43:1711-1737.
  3. Vivancos J, Gilo F, Frutos R, et al. Clinical management guidelines for subarachnoid haemorrhage: diagnosis and treatment. Neurologia 2014; 29:353-370.
  4. Koopman I, Greving JP, van der Schaaf IC, van der Zwan A, Rinkel GJ, Vergouwen MD. Aneurysm characteristics and risk of rebleeding after subarachnoid haemorrhage. Eur Stroke J 2019; 4:153-159.
  5. Kaur G, Dakay K, Sursal T, et al. Acute subdural hematomas secondary to aneurysmal subarachnoid hemorrhage confer poor prognosis: a national perspective. J Neurointerv Surg 2020 (Online ahead of print).
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