Subarachnoid hemorrhage other diagnostic studies

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Subarachnoid Hemorrhage Microchapters

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Differentiating Subarachnoid Hemorrhage from other Diseases

Epidemiology and Demographics

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AHA/ASA Guidelines for the Management of Aneurysmal Subarachnoid Hemorrhage (2012)

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Cerebral Vasospasm and DCI
Hydrocephalus
Seizures Associated With aSAH
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sara Mehrsefat, M.D. [2]

Overview

Other diagnostic studies for subarachnoid hemorrhage include spinal angiography and surgical exploration. [1][2]

Other diagnostic studies

Surgical exploration

Surgical exploration is not a routine diagnostic evaluation. However, It is the best diagnostic aspect in diagnosis of ruptured aneurysm and it has a diagnostic value even after two or more negative angiograms.[1][3]

Spinal angiography

Spinal angiography also should be considered in patient with SAH especially after:[2][4]

  • A clinical suspicion for a spinal vascular anomaly (prominent back/neck pain and radicular on examination)
  • Presence of abnormal finding on other neuroimaging studies

References

  1. 1.0 1.1 Tatter SB, Crowell RM, Ogilvy CS (1995). "Aneurysmal and microaneurysmal "angiogram-negative" subarachnoid hemorrhage.". Neurosurgery. 37 (1): 48–55. PMID 8587690. 
  2. 2.0 2.1 Kinouchi H, Mizoi K, Takahashi A, Nagamine Y, Koshu K, Yoshimoto T (1998). "Dural arteriovenous shunts at the craniocervical junction.". J Neurosurg. 89 (5): 755–61. PMID 9817413. doi:10.3171/jns.1998.89.5.0755. 
  3. Di Lorenzo N, Guidetti G (1988). "Anterior communicating aneurysm missed at angiography: report of two cases treated surgically.". Neurosurgery. 23 (4): 494–9. PMID 3200381. 
  4. van Beijnum J, Straver DC, Rinkel GJ, Klijn CJ (2007). "Spinal arteriovenous shunts presenting as intracranial subarachnoid haemorrhage.". J Neurol. 254 (8): 1044–51. PMC 2779417Freely accessible. PMID 17401739. doi:10.1007/s00415-006-0485-4. 

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