Subarachnoid Haemorrhage / pathophysiology, complications and management
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- Опубликовано: 21 янв 2023
- A subarachnoid haemorrhage (SAH) is a type of stroke that causes bleeding around the brain. Subarachnoid haemorrhage, the bleeding happens in a part of your head called the "subarachnoid space."
Most spontaneous SAHs are caused by ruptured saccular aneurysms.
Other causes of SAH include occult trauma, arteriovenous malformations/fistulae, vasculitides, intracranial arterial dissections, amyloid angiopathy, bleeding diatheses, and illicit drug use (especially cocaine and amphetamines).
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My belovéd Mother suffered a SAH on.5 April 2023. As an A&E doctor, I recognised the signs and symptoms of this condition. I called the UK National Ambulance Service at 7.35pm, and it took, with even a professional sub-diagnosis, an attendance time of 35minutes....Yes, 35 minutes for a SAH......This response time is embarrassing and unacceptable for a 'first world' country....Subsequently, my Mum passed away 2 hours after cerebral ischaemia....
Sorry
@@99bhargavpraneeth16 Thank you 😔
May her soul rest in peace, Amen.
@@chideraarinze7230 Thank you for your kind words. Christmas has been difficult, this year. 😔
So sorry to hear that.
You make the best neurology videos.
I needed this! It came on time. Thanks
I wish I had known about you when I was going through A&P. You're awesome
Could you please tell which app do you use to make such wonderful and understandable lectures
I had a subarachnoid hemorrhage due to a malformation
at the age of 14 and I went to the hospital and they didn't take me seriously, I told them how I felt (I was feeling like something tight in my head)and they just ignored me and took everything I told them as a joke and they said they were going to help me and lied, instead they sent me to a mental hospital and in that hospital my symptoms got worse and I started having blurred vision and double vision, I was feeling weak too and suddenly I had the worst headache in the world , my brain was burning and I was in so much pain, now I have to be on meds for the rest of my life
Hi! Something similar happened to me. I want to discuss this. Can we please connect?
Awesome thanks bro. Keep making great videos :) Peace
Does bronchiectasis cause permanent damage to both of lungs?
Thank you so much
During my internal medicine rotation, I saw an 87M with SAH secondary to a fall from a 4 foot height (small step ladder in his garden). It is unclear if there was a previously existing aneurysm that burst due to the fall. My question is... Is it possible for SAH to occur due to a fall from low height in the ABSENCE of an aneurysm? Thank you so much for doing these videos.
He mentioned that any occult trauma can cause SAH even without the presence of aneurysm.
@@waelfadlallah8939 yes, it can. They are other risk factors to SAH without anueurysm. Just as in this case Blunt trauma to the head.
@@JACKERWHYT that what i already said 😳
I would say yes. I had a car accident and suffered a SAH three weeks later. CT at the time with and without contrast found no evidence of an aneurysm. I had a CT scan then a week later as I suffered a relapse thunderclap headache and the CT scan again found no evidence of an aneurysm.
so helpful
How to become member of this channel??😐
Thank you boss man
Thanks❤
When you say a sudden and severe headache? You're not wrong. It's been over 5 years since my SAH and I haven't forgotten it. It was the worst thing I've ever felt!
How is your recovery going now? My mother just got out of the hospital 10 days ago and her memory is very bad right now.
@user-fw3tz5ns5s yes, I thought I had defied the odds but still have fatigue issues and poor short-term memory. There is also the fear that I will feel that headache again, but a neurosurgeon assured me it won't happen again, probably due to the fact mine wasn't caused by a burst aynurism. Thanks for asking. Hope your mum is going well.
@@darylprice-wx7fzhey man I was just in a car crash and got a SAH I had no pains or ote and got let out of hospital after a day I’m hoping it don’t get worse it’s been 5 days and feel fine still need to go for a check up soon because have a deep skull fracture and a deep cut through my forehead because I didn’t have a seatbelt and smashed my head on the gear stick at 80mps very scared but hope for the best ey
What's the time there
doc?
make me understand how anticoagulants are applicable in hemorrhage?
Do you mean when he discusses interventions? He mentions that any coagulopathies that are present need to be corrected -- since coagulopathies cause excess bleeding, you would want to treat/correct that in order to prevent further/worsening bleeding. An example he gave was giving vitamin K if the patient is on warfarin (vitamin K will oppose/reverse effects of Warfarin --> Warfarin's job is basically to keep your blood thin and make you bleed more easily).
I was lifting weights like I normally have for the last 3 or so months and I suddenly got this really bad headache that did not go away its been almost a full week I guess I gotta go to the ER tomorrow if it doesn't go away its like this throbbing pain on one side of my head it comes in waves especially if I move suddenly
How are you now mate?
that's knowledge
4:02 you pronounce the “c” in “hydrocephalus” as an “s.” you know, like how you’ve been saying the “c” in “cerebral.”
Hi
I prefer Dirty Medicine more than his videos. Dirty is great from up to down and east to west.
Sir
Can you cure it 100%?
Yes
@@malakgamal8660 Niceeeeee
are you the lad who does squat everyday
👍👍👍
✋🏻
Progress,
Subarachnoid haemorrhage is not a stroke
Opening pressure is also not always raised
It is a type of stroke.
Wrong, it behaves pretty much the same way and does the same damage in many cases, spkg from expérience