Acute headaches account for 1-2% of all ED visits. Of these patients, 1-3% will actually have a subarachnoid hemorrhage (SAH) (Goldstein 2006). This makes it a rare, challenging to make diagnosis but,
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In patients with subarachnoid hemorrhage, one of the major early complications is rebleeding, with reported incidences ranging from 8% to 23% in the first 72 hours (Larsen 2010). If repair of the ruptured aneurysm is performed successfully in a timely fashion,
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Patients presenting with severe, sudden onset headaches can present a challenge to Emergency Physicians. While most headaches are benign, a minority of them are a symptom of aneurysmal subarachnoid headaches (aSAH);
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Thanks to Salim Rezaie (@srrezaie) for peer-reviewing this post.
Acute headache is a common emergency department presentation that accounts for 1-2% of all encounters (Goldstein 2006) The differential includes many life-threatening diagnoses,
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Although non-contrast head CT (NCHCT) has near perfect sensitivity (98-100%) in detecting aneurysmal subarachnoid hemorrhage (SAH) when performed within 6 hours of headache onset, sensitivity declines after 6 hours. As a result of declining sensitivity,
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Acute headache is a common emergency department presentation that accounts for 1-2% of all encounters (Goldstein 2006) The differential includes many life-threatening diagnoses, one of which is aneurysmal subarachnoid hemorrhage (SAH).
Read More
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