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Subarachnoid hemorrhage

A subarachnoid hemorrhage (SAH, /ˌsʌbəˈræknɔɪd ˈhɛmᵊrɪdʒ/), or subarachnoid haemorrhage in British English, is bleeding into the subarachnoid space—the area between the arachnoid membrane and the pia mater surrounding the brain. This may occur spontaneously, usually from a ruptured cerebral aneurysm, or may result from head injury.

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with subarachnoid hemorrhage, 71% report having headache, 35% report having dizziness, and 31% report having neck pain. The symptoms that are highly suggestive of subarachnoid hemorrhage are bleeding from ear, although you may still have subarachnoid hemorrhage without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with subarachnoid hemorrhage often receive radiographic imaging procedure, hematologic tests, x-ray computed tomography, complete blood count, intravenous fluid replacement, cat scan of head, kidney function tests and glucose measurement .

Common Medications

The most commonly prescribed drugs for patients with subarachnoid hemorrhage include phenytoin (dilantin), levetiracetam (keppra), celecoxib (celebrex), diphtheria toxoid vaccine / tetanus toxoid vaccine, buspirone (buspar), labetalol, ezetimibe (zetia), cefazolin, fosphenytoin, nimodipine, naloxone (suboxone), sennosides, usp (perdiem) and nitroprusside .

Phenytoin (Dilantin)
$29
(28 days)
Levetiracetam (Keppra)
$111
(28 days)
Celecoxib (Celebrex)
$128
(28 days)
Buspirone (Buspar)
$16
(28 days)
Labetalol
$19
(28 days)
Ezetimibe (Zetia)
$100
(28 days)
Cefazolin
$90
(7 days)
Fosphenytoin
$23
(7 days)
Nimodipine
$672
(28 days)
Naloxone (Suboxone)
Under $1
(0 days)
Sennosides, Usp (Perdiem)
$9
(28 days)
Nitroprusside

Who is at risk?

Groups of people at highest risk for subarachnoid hemorrhage include age 60-74 years age 45-59 years. On the other hand, age 1-4 years almost never get subarachnoid hemorrhage.

Age

< 1 years
0.5x
1-4 years
0.0x
5-14 years
0.1x
15-29 years
0.4x
30-44 years
0.6x
45-59 years
2.0x
60-74 years
1.7x
75+ years
1.4x

Sex

Male
1.0x
Female
1.0x

Race/Ethnicity

Black
0.5x
Hispanic
1.1x
White
1.2x
Other
0.7x
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