Stephen J. Schueler, M.D.

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Cerebral Aneurysm Rupture Evaluation

The evaluation of a subarachnoid hemorrhage begins with a history and physical exam.

Although most patients with subarachnoid hemorrhage will have some findings on neurological examination, the physical exam may be normal. As many as 10% of patients with a history for a sudden-onset, severe and unusual headache, but a normal neurological examination, will have a subarachnoid hemorrhage.

Physical findings in someone with a subarachnoid hemorrhage may include:

Tests are necessary to make the diagnosis of a subarachnoid hemorrhage. The standard procedure for evaluating subarachnoid hemorrhage is neuroimaging (CT scanning of the brain) followed by lumbar puncture.

Tests that may be used to evaluate a subarachnoid hemorrhage include:

Continue to Cerebral Aneurysm Rupture Treatment

Last Updated: Jan 5, 2011 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Cerebral Aneurysm Rupture References
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  2. Edlow JA. Diagnosis of subarachnoid hemorrhage. Neurocrit Care. 2005;2(2):99-109. [16159051]
  3. Rosen DS, Macdonald RL. Subarachnoid hemorrhage grading scales: a systematic review. Neurocrit Care. 2005;2(2):110-8. [16159052]
  4. Salary M, Quigley MR, Wilberger JE Jr. Relation among aneurysm size, amount of subarachnoid blood, and clinical outcome. J Neurosurg. 2007 Jul;107(1):13-7. [17639867]
  5. Stiefel MF, Heuer GG, Abrahams JM, Bloom S, Smith MJ, Maloney-Wilensky E, Grady MS, LeRoux PD. The effect of nimodipine on cerebral oxygenation in patients with poor-grade subarachnoid hemorrhage. J Neurosurg. 2004 Oct;101(4):594-9. [15481712]
  6. Toussaint LG 3rd, Friedman JA, Wijdicks EF, Piepgras DG, Pichelmann MA, McIver JI, McClelland RL, Nichols DA, Meyer FB, Atkinson JL. Influence of aspirin on outcome following aneurysmal subarachnoid hemorrhage. J Neurosurg. 2004 Dec;101(6):921-5. [15597751]
  7. van Gijn J, Kerr RS, Rinkel GJ. Subarachnoid haemorrhage. Lancet. 2007 Jan 27;369(9558):306-18. [17258671]
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