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Neurology

Subarachnoid Hemorrhage

Subarachnoid hemorrhage is bleeding that occurs between the brain and the tissues around it.

Subarachnoid Hemorrhage

Subarachnoid hemorrhage is bleeding that occurs between the brain and the tissues around it.

Causes of Subarachnoid Hemorrhage 

  • Arteriovenous malformation bleeding (a tangle of abnormal blood vessels with a connection between the arteries and veins in the brain

  • Intracranial-Trauma

  • Hemorrhagic disorders

  • Brain aneurysm bleeding (delicate area on the wall of a blood vessel, causing and inflammation of the vessel)

  • Use of anticoagulants


Symptoms of Subarachnoid Hemorrhage 

  • Sudden severe headache

  • Nausea and vomiting

  • Loss of consciousness for a short time

  • Muscle pain in the neck and shoulder

  • Stiff neck

  • Seizures

  • Vision problems

  • Pupils different sizes

  • Droopy eyelid

  • Behavior change


Diagnosis of Subarachnoid Hemorrhage
The Neurologist or Neurosurgeon may recommend the following tests to detect Subarachnoid hemorrhage.

  • CT Scan

  • MRI - Magnetic Resonance Imaging

  • Cerebral angiography, if the previous imaging diagnoses have not been clear the cause of the condition, this test is used, since it allows detecting in more detail if there is any indication of subarachnoid hemorrhage

  • Aneurysmal subarachnoid hemorrhages most likely will not be visualized on the first imaging tests. 


In case the doctor does not detect bleeding in the tests, he could recommend you to do the following:

  • Lumbar puncture

  • After a few days, do the imaging tests again



Treatment of Subarachnoid Hemorrhage
As a first step, the Neurosurgeon will seek to stabilize and alleviate the patient's symptoms, having the diagnosis, and analyzing the severity of the condition; the doctor will recommend the treatment to be used. 


In case the bleeding is due to a ruptured brain aneurysm, the following methods could be used: 

  • Endovascular embolization, for blood flow to the aneurysm sac, allowing blood to clot 

  • Endovascular treatments 

  • Surgery 

  • Attend follow-up visits with the doctor 

  • Therapy


We group some of the prevention measures that can help you avoid a subarachnoid hemorrhage:


  • Drive carefully, always wear your seat belt

  • Never drink and drive

  • Don't use drugs

  • Don't smoke

  • Don't use your cell phone while driving

  • Wear protective sports equipment 

  • If you have high blood pressure, follow the treatment plan provided by your doctor


When to see a doctor?
If you have any of these symptoms, go or call the emergency number in Los Cabos +52 (624) 104 3911 for help immediately.


A Subarachnoid Hemorrhage must be treated immediately; it can lead to severe brain damage and even death.


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