Subarachnoid Hemorrhage - The Heart Course

Explore a comprehensive lecture on subarachnoid hemorrhage, a critical cardiovascular emergency. Delve into the intricacies of thunderclap headaches, diagnostic pathways, and treatment options. Examine various types of subarachnoid hemorrhages, including those caused by aneurysms and vasospasm. Learn about the effectiveness of CT scans versus lumbar punctures in diagnosis, and understand the importance of xanthochromia in cerebrospinal fluid analysis. Investigate decision rules, research findings, and landmark studies that guide clinical practice. Discuss the snowball effect of complications, management of asymptomatic aneurysms, and the significance of Perry's study in diagnostic approaches. Explore treatment strategies, handling of negative diagnostics, and special considerations for postpartum cases and recurrent thunderclap headaches. Additionally, gain insights into cerebral venous sinus thrombosis, its risk factors, diagnostic methods, and treatment with heparin. Equip yourself with essential knowledge to effectively manage this potentially life-threatening condition in emergency medicine settings.

Intro
Thunderclap Headache
Thunderclap Headaches
Types
Aneurysm
Vasospasm
CT vs LP
pathophysiology
example
xanthrochromia
postlp headache
decision rule
research
Neck pain or stiffness
CT Angiograms
The Snowball Effect
asymptomatic aneurysms
CT
Perrys Study
Landmark Paper
Diagnostic Pathways
Treatment
Negative Diagnostics
RCDs
Postpartum
Recurrent Thunderclap Headache
Does it only show when they have the headache
Take home message
Cerebral venous sinus thrombosis
Risk factors
Physical exam
CT venogram
Treatment heparin
Cochrane review
Take home
Takeaway