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SUBARACHNOID HAEMORRHAGE I. ANEURYSM AND AVM II. TRAUMA III.INFECTIONS IV. NEOPLASIA V. TOXIC VI. INFLAMMATORY VII.DEGENERATIVE CAUSES

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Page 1: SUBARACHNOID HAEMORRHAGE I.ANEURYSM AND AVM II.TRAUMA III.INFECTIONS IV.NEOPLASIA V.TOXIC VI.INFLAMMATORY VII.DEGENERATIVE CAUSES

SUBARACHNOID HAEMORRHAGE

I. ANEURYSM AND AVMII. TRAUMAIII. INFECTIONSIV. NEOPLASIAV. TOXIC VI. INFLAMMATORYVII. DEGENERATIVE

CAUSES

Page 2: SUBARACHNOID HAEMORRHAGE I.ANEURYSM AND AVM II.TRAUMA III.INFECTIONS IV.NEOPLASIA V.TOXIC VI.INFLAMMATORY VII.DEGENERATIVE CAUSES
Page 3: SUBARACHNOID HAEMORRHAGE I.ANEURYSM AND AVM II.TRAUMA III.INFECTIONS IV.NEOPLASIA V.TOXIC VI.INFLAMMATORY VII.DEGENERATIVE CAUSES
Page 4: SUBARACHNOID HAEMORRHAGE I.ANEURYSM AND AVM II.TRAUMA III.INFECTIONS IV.NEOPLASIA V.TOXIC VI.INFLAMMATORY VII.DEGENERATIVE CAUSES

CLINICAL FEATURES

WARNING SYMPTOMS---HEADACHE,DIZZINESS,ORBITAL PAIN,DIPLOPIA,LOSS OF VISION,MOTOR AND SENSORYDEFICIT,FITS,CRANIAL NERVE PALSY(3 NERVE),DYSPHASIASYMPTOMS OF SAH--- MENINGISM,NAUSEA,VOMOTING,OCCIPITAL HEADACHE,LATERAL HEADACHE,DYSPHASIACONFUSION,INTRA-OCULAR PAIN,ANISOCORIA,PAPILLEDEMAHOMONYMUS HEMIANOPSIA,3 NERVE PALSY,THROMBOEMBOLIC PHENOMENONGIANT ANEURYSMS AS SOLMULTIPLE CRANIAL NERVE PALSIESH

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CEREBRAL VASOSPASM1) BLOOB CLOT AND DEGRADATION PRODUCT2) OXY HAEMOGLOBIN ,METHEMGLOBIN3) SEROTONIN,FDP,IRON,THROMBOXONA2,CATECH

OLAMINE,PROSTAGLANDIN,ANGIOTENSIN,VASOPRESSIN,POTASSIUM,FALL IN NITRIC OXIDE,RISE IN ENDOTHELIN

TREATED BY•3H Hypertension,Hypervolemia,Haemodilution•Calcium Channel blocker nimodipine nicardipine etc•Clot removal•Baloon angioplasty

Page 8: SUBARACHNOID HAEMORRHAGE I.ANEURYSM AND AVM II.TRAUMA III.INFECTIONS IV.NEOPLASIA V.TOXIC VI.INFLAMMATORY VII.DEGENERATIVE CAUSES
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TREATMENT OPTIONS

Microsurgical clippingGDCOILEmbolization and excision of avmGamma KnifeTreatment of other conditions according to their pathologiesICU


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