შეჯამება
განსაზღვრება
ანამნეზი და გასინჯვა
ძირითადი დიაგნოსტიკური ფაქტორები
- headache
- photophobia
- loss of consciousness
- third cranial nerve palsy
სხვა დიაგნოსტიკური ფაქტორები
- age >50 years
- female sex
- black people
- nausea/vomiting
- altered mental status
- meningismus
- unilateral or bilateral sixth cranial nerve palsies
- intraocular hemorrhage
- focal neurologic deficits
- seizures
რისკფაქტორები
- hypertension
- smoking
- family history
- autosomal dominant polycystic kidney disease (ADPKD)
- alcohol use
- cocaine use
- Marfan syndrome
- Ehlers-Danlos syndrome
- pseudoxanthoma elasticum
- neurofibromatosis type I
დიაგნოსტიკური კვლევები
1-ად შესაკვეთი გამოკვლევები
- CT head
- CBC
- clotting profile
- serum electrolytes
- troponin I
- serum glucose
- ECG
გასათვალისწინებელი კვლევები
- lumbar puncture (LP)
- digital subtraction angiography (DSA)
- computed tomography angiography (CTA)
- magnetic resonance angiography (MRA)
მკურნალობის ალგორითმი
all patients
კონტრიბუტორები
ექსპერტი მრჩევლები
Salah Keyrouz, MD, FAHA, FCCM
Professor
Neurology and Neurosurgery
Washington University School of Medicine
St. Louis
MO
გაფრთხილება:
SK is an author of a reference cited in this topic.
მადლიერება
Dr Salah Keyrouz would like to gratefully acknowledge Dr Michael N. Diringer, a previous contributor to this topic.
利益声明
MND is an author of a number of references cited in this topic.
同行评议者
Venkatesh Aiyagari, MD
Associate Professor
Department of Neurology and Rehabilitation
University of Illinois at Chicago
Chicago
IL
利益声明
VA declares that he has no competing interests.
Peter Martin, MA, BM BCh, MD, FRCP
Consultant Neurologist
Addenbrookes Hospital
Cambridge
UK
利益声明
PM declares that he has no competing interests.
Giovanni Grasso, M.D., PhD
Aggregate Professor of Neurosurgery
Neurosurgical Clinic
Department of Clinical Neuroscience
University of Palermo
Palermo
Italy
利益声明
GG declares that he has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
参考文献
关键文献
Thompson BG, Brown RD Jr, Amin-Hanjani S, et al. Guidelines for the management of patients with unruptured intracranial aneurysms: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2015 Aug;46(8):2368-400.全文 摘要
Steiner T, Juvela S, Unterberg A, et al. European Stroke Organization guidelines for the management of intracranial aneurysms and subarachnoid haemorrhage. Cerebrovasc Dis. 2013 Feb 7;35(2):93-112.全文 摘要
Hoh BL, Ko NU, Amin-Hanjani S, et al. 2023 Guideline for the management of patients with aneurysmal subarachnoid hemorrhage: a guideline from the American Heart Association/American Stroke Association. Stroke. 2023 Jul;54(7):e314-70.全文 摘要
Treggiari MM, Rabinstein AA, Busl KM, et al. Guidelines for the neurocritical care management of aneurysmal subarachnoid hemorrhage. Neurocrit Care. 2023 Aug;39(1):1-28. 摘要
参考文献
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
鉴别诊断
- Nonaneurysmal perimesencephalic subarachnoid hemorrhage
- Arterial dissection
- Cerebral and cervical arteriovenous malformation (AVM)
更多 鉴别诊断指南
- 2023 guideline for the management of patients with aneurysmal subarachnoid hemorrhage
- Guidelines for the neurocritical care management of aneurysmal subarachnoid hemorrhage
更多 指南Videos
Diagnostic lumbar puncture in adults: animated demonstration
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