Subarachnoid hemorrhage is bleeding in the area between the brain and the thin tissues that cover the brain. This area is called the subarachnoid space. Subarachnoid bleeding is an emergency and prompt medical attention is needed.
Hemorrhage - subarachnoid; Subarachnoid bleeding
Subarachnoid hemorrhage can be caused by:
Subarachnoid hemorrhage caused by injury is often seen in the older people who have fallen and hit their head. Among the young, the most common injury leading to subarachnoid hemorrhage is motor vehicle crashes.
A strong family history of aneurysms may also increase your risk.
The main symptom is a severe headache that starts suddenly (often called thunderclap headache). It is often worse near the back of the head. Many people often describe it as the "worst headache ever" and unlike any other type of headache pain. The headache may start after a popping or snapping feeling in the head.
Other symptoms that may occur with this disease:
The goals of treatment are to:
Surgery may be done to:
If the person is critically ill, surgery may have to wait until the person is more stable.
Surgery may involve:
If no aneurysm is found, the person should be closely watched by a health care team and may need more imaging tests.
Treatment for coma or decreased alertness includes:
A person who is conscious may need to be on strict bed rest. The person will be told to avoid activities that can increase pressure inside the head, including:
Treatment may also include:
Gregory Zipfel is a Neurosurgery doctor in St. Louis, Missouri. Dr. Zipfel has been practicing medicine for over 27 years and is rated as an Elite doctor by MediFind in the treatment of Subarachnoid Hemorrhage. He is also highly rated in 32 other conditions, according to our data. His top areas of expertise are Subarachnoid Hemorrhage, Brain Aneurysm, Cerebral Arteriovenous Malformation, and Meningioma. He is board certified in Neurosurgery and licensed to treat patients in Missouri. Dr. Zipfel is currently accepting new patients.
Pascal Jabbour is a Neurosurgery doctor in Philadelphia, Pennsylvania. Dr. Jabbour has been practicing medicine for over 24 years and is rated as an Elite doctor by MediFind in the treatment of Subarachnoid Hemorrhage. He is also highly rated in 41 other conditions, according to our data. His top areas of expertise are Brain Aneurysm, Stroke, Subarachnoid Hemorrhage, and Apoplexy. He is board certified in Neurosurgery and licensed to treat patients in Pennsylvania and New Jersey. Dr. Jabbour is currently accepting new patients.
Stavropoula Tjoumakaris is a Neurosurgery doctor in Philadelphia, Pennsylvania. Dr. Tjoumakaris has been practicing medicine for over 19 years and is rated as an Elite doctor by MediFind in the treatment of Subarachnoid Hemorrhage. She is also highly rated in 21 other conditions, according to our data. Her top areas of expertise are Brain Aneurysm, Subarachnoid Hemorrhage, Stroke, and Apoplexy. She is board certified in Neurosurgery and licensed to treat patients in Pennsylvania and New Jersey. Dr. Tjoumakaris is currently accepting new patients.
How well a person with subarachnoid hemorrhage does depends on a number of different factors, including:
Older age and more severe symptoms can lead to a poorer outcome.
People can recover completely after treatment. But some people die, even with treatment.
Repeated bleeding is the most serious complication. If a cerebral aneurysm bleeds for a second time, the outlook is much worse.
Changes in consciousness and alertness due to a subarachnoid hemorrhage may become worse and lead to coma or death.
Other complications include:
Go to the emergency room or call the local emergency number (such as 911) if you or someone you know has symptoms of a subarachnoid hemorrhage.
The following measures may help prevent subarachnoid hemorrhage:
Mayer SA. Hemorrhagic cerebrovascular disease. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 380.
Szeder V, Tateshima S, Jahan R, Saver JL, Duckwiler GR. Intracranial aneurysms and subarachnoid hemorrhage. In: Jankovic J, Mazziotta JC, Pomeroy SL, Newman NJ, eds. Bradley and Daroff's Neurology in Clinical Practice. 8th ed. Philadelphia, PA: Elsevier; 2022:chap 67.