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Subarachnoid Hemorrhage

Subarachnoid hemorrhage is a bleeding in the space between the brain and the lining of the brain that is in the blood vessels. The primary symptom that is felt is a severe headache that arises suddenly. These headaches are sometimes associated with nausea, vomiting, and loss of consciousness for a moment. Bleeding is usually caused by the rupture of an abnormal bulge in the blood vessels of your brain.

 

How to diagnose it?

 

Investigations may be performed using:

  • Angiography
  • Digital Subtraction Angiography (DSA)
  • Katerisasi blood vessels of the brain

 

 

 

What are the Treatment Options for SAH Patients?

 

  1. Clipping Operation

The operation is performed by opening a small part of the head which starts with general anesthesia. During the operation, a metal clip material is placed between the aneurysm of the neck to seal the weak point.

 

  • What happens after the clipping operation?

After the surgery, you will be taken to the recovery room, then you will be transferred to the neurosciences critical care unit (NCCU) room, after the surgery is completed you may feel nausea and headaches.

 

  • What are the risks after clipping operation?

There are no operating actions that do not pose a risk. Possible complications arise after clipping surgery include infection, bleeding, allergic reactions to anesthesia, stroke, convulsions, brain swelling. Specific complications after performing clipping operations include vasospasm, stroke, convulsions, bleeding, and improper clip installation.

 

 

  1. Endovascular Coiling

During the endovascular action of coling, the aneurysm is filled with small platinum coils. This action begins with anesthesia in total, a catheter inserted in the thigh via the main artery to the location of an aneurysm that is monitored using x-rays, after the aneurysm is well filled the catheter will be released.

 

  • What happens after endovascular coiling?

After the operation, you will be taken to the recovery room, then you will be transferred to the neurosciences critical care unit (NCCU) room, after the surgery is over you will feel nausea and headaches.

 

A patient suffering from a ruptured aneurysm is usually treated at NCCU for 14 to 21 days. During this time, you are monitored for signs of vasospasm, arterial spasms that can occur 3 to 14 days after subarachnoid hemorrhage. Signs of vasospasm include weakness of the arm or leg, confusion, drowsiness, or anxiety.

 

  • What are the risks after endovascular coiling?

There are no operating actions that do not pose a risk. Possible complications arise after endovascular coiling surgery include infection, bleeding, allergic reactions to anesthesia, stroke, and convulsions. Specific complications after clipping surgery include blood clots, aneurysm ruptures, vasospasms, coil positions that allow blood to reenter, and the non-solid coil filling allows for re-entry of blood and aneurysms can grow back.

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