Postoperative symptoms of subarachnoid hemorrhage?

summary

Subarachnoid hemorrhage (SAH) is a clinical syndrome caused by the rupture of diseased blood vessels at the bottom of the brain or on the surface of the brain, and the direct flow of blood into the subarachnoid space. It is also called primary SAH, which accounts for about 10% of acute stroke. It is a very serious common disease. Postoperative symptoms of subarachnoid hemorrhage? Let's talk about it

Postoperative symptoms of subarachnoid hemorrhage?

Sudden onset, headache occurring in seconds or minutes is the most common way of onset. Patients can often clearly describe the onset time and situation. Before onset, there were obvious inducements, such as strenuous exercise, emotional excitement, exertion, defecation, cough, drinking, etc; A few of them can get sick in quiet condition. About 1 / 3 patients had headache, nausea, vomiting and other symptoms several days or weeks before aneurysm rupture.

The typical clinical manifestations of SAH were sudden severe headache, nausea, vomiting and meningeal irritation with or without focal signs. Severe activities or activities after the burst of localized or whole head pain, intolerable, persistent or continuous aggravation, sometimes on the neck can also appear pain. The origin of the aneurysm is often related to the rupture site of the aneurysm. The common accompanying symptoms include vomiting, transient disturbance of consciousness, pain in neck and back, photophobia, etc.

Meningeal irritation was found in most cases within a few hours after the onset of the disease, especially neck stiffness. Kernig and brudzinski signs were positive. Fundus examination showed retinal hemorrhage, papilledema, about 25% of the patients may have mental symptoms, such as euphoria, delirium, hallucination and so on. There may also be epileptic seizures, focal neurological deficit signs, such as oculomotor nerve paralysis, aphasia, monoplegia or hemiplegia, sensory disorders, etc. Some patients, especially the elderly patients with headache, meningeal irritation and other clinical manifestations are often atypical, but the mental symptoms are obvious.

matters needing attention

It is not easy for the elderly to live alone. They should be accompanied by competent personnel to avoid accidents. In case of recurrence, they should seek medical treatment as soon as possible. In addition, hypertension should also do some daily physical exercise, strong body can also be very good to reduce the impact of sequelae.