Subarachnoid haemorrhage treatment in Noida — 24×7 emergency aneurysm clipping and coiling at Medanta Hospital. Dr. Manish Vaish (AANS), Dr. Girish Rajpal (FINR). Team Sushrut.
Dr Manish Vaish
Director & HOD – Neurosciences
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Overview
Symptoms
Title
Thunderclap headache
the worst headache of life, maximum intensity within seconds
Title
Neck stiffness (meningism)
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Nausea and vomiting
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Photophobia (sensitivity to light)
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Brief loss of consciousness at ictus
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Focal neurological deficit (depending on aneurysm site)
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Sentinel headache (warning headache) days before rupture
often dismissed
Treatments
Title
Emergency CT brain and CT angiography
Title
Lumbar puncture if CT is negative (xanthochromia in CSF confirms SAH)
Title
Nimodipine for vasospasm prevention
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Secure the aneurysm
surgical clipping (Dr. Vaish) or endovascular coiling (Dr. Rajpal)
Title
External ventricular drainage (EVD) for hydrocephalus
Title
Transcranial Doppler monitoring and management of delayed cerebral ischaemia
Title
ICU monitoring
blood pre
