subarachnoid hemorrhage…

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central nervous system, hemorrhage, subarachnoid, subarachnoid hemorrhage, disorder involving bleeding between the middle membrane covering, the brain, brain, the cerebrospinal fluid-filled spaces surrounding the brain, the subarachnoid space, subarachnoid hemorrhage occurs in approximately 1 out of 10,000 people, 5 to 10% of strokes, subarachnoid hemorrhage, most common in people 20 to 60 years old, slightly more common in women than men, most common cause of any form of subarachnoid hemorrhage is trauma, case of spontaneous subarachnoid hemorrhage, 95%, the cases, a result of a ruptured aneurysm, a small percentage of subarachnoid hemorrhages have a nonaneurysmal pattern to them, occur spontaneously, localized, in the brain, the perimesencephalic cisterns, usual outcome, type of hemorrhage is excellent, unlike the majority of hemorrhages that, arterial ruptures, type is thought to be, a ruptured vein, capillary, subarachnoid hemorrhage occurs, is bleeding, space between the brain, arachnoid membrane, middle membrane covering the brain, a ruptured cerebral aneurysm, arteriovenous malformation, result from unidentified causes, disorders associated, aneurysm, weakened blood vessels, a history of polycystic kidney disease, fibromuscular dysplasia, fmd, connective tissue disorders, aneurysms in other blood vessels, high blood pressure, smoking, permanent brain damage from ischemia, loss of blood flow, blood in, around the tissues, the brain, headache, sudden onset, the "worst ever experience", preceded by a popping, snapping sensation, in the head, pain described, a new type, generalized pain, worse near the back, the head, nausea, vomiting, accompany the headache, decreased consciousness, alertness, temporary, progressively worsens to coma, death, difficulty seeing, changes in vision, double vision, blind spots, temporary loss of vision in one eye, stiff neck, photophobia, light bothering, hurting the eyes, muscle aches, neck pain, shoulder pain, seizure, spell, loss of movement, sensation of a part, changes in mood, personality, confusion, irritability, additional symptoms that associated, eyes, pupils different size, eyelid drooping, opisthotonos, not very common, a neuromuscular examination, shows irritated meninges, tissues covering the brain, neck stiff, movement, the neck resisted in all but deeply comatose people, indications of focal neurologic deficit, localized decreases in nerve/brain function, an examination, the eyes, indicate bleeding, in the brain, decreased eye movements, changes that indicate damage, 3rd, 6th cranial nerves, head ct scan, preferred, an mri that shows blood, in the subarachnoid area, lumbar puncture, spinal tap, ct shows blood, in the subarachnoid space, a lumbar puncture is no longer necessary, a cerebrospinal fluid examination, spinal tap, blood, angiography of blood vessels, the brain, cerebral angiography, small aneurysms, vascular anomaly, exact location, the bleed, the results of cpk isoenzymes, treatment goals include lifesaving measures, relief of symptoms, repair, the bleeding, prevention of complications, coma, decreased mental status required, positioning, airway protection, life support, placement of a drain, small plastic tube, fluid-filled spaces, the brain, ventricles, relieve intracranial pressure, a person is conscious, strict bedrest advised, accompanied by measures to avoid increases in intracranial pressure, pressure, in the head, avoiding activities bending over, straining, sudden position changes, similar activities, stool softeners, laxatives, prevent straining, bowel movements, pain killers, anti-anxiety medications, relieve headache, reduce intracranial pressure, antihypertensive medications, moderately reduce blood pressure, very high, phenytoin, medications used, prevent, treat seizures, nimodipine, a calcium channel blocker, prevent vasospasm, spasm of a blood vessel, treatment, either via a craniotomy, opening a hole, in the skull, clipping, the aneurysm, placing a metal clip across the base, the aneurysm so, to separate it, circulation, endovascular coiling, placing platinum coils, the aneurysm, the blood vessel, surgical removal of large collections of blood, subarachnoid hemorrhage has a variable prognosis, probable outcome, depending on the location, extent, the bleeding, complications, complete recovery, occur after treatment, death, stroke, seizures, side effects of medications, the specific medication, complications of surgery, symptoms of subarachnoid hemorrhage, emergency symptoms include seizures, breathing difficulties, loss of consciousness, difficulties, speech, vision, movement, sensation, eating, swallowing difficulties, identification, successful treatment of an incidentally found aneurysm would, prevent subarachnoid hemorrhage.