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Advanced Technical IVT

subarachnoid hemorrhage

Pronunciation: suhb-uh-RAK-noid HEM-er-ij

Also written as: SAH — subarachnoid hemorrhage

Bleeding into the space between the brain and the thin tissues covering it, often caused by ruptured cerebral aneurysms.

Full Definition

Subarachnoid hemorrhage (SAH) is bleeding that occurs in the subarachnoid space, the area between the brain and the arachnoid membrane that surrounds it. This space normally contains cerebrospinal fluid, and bleeding here mixes with the CSF, often causing sudden severe headache described as 'the worst headache of my life.' The most common cause is rupture of a cerebral aneurysm, though trauma, arteriovenous malformations, and other vascular abnormalities can also cause SAH. The condition is a neurological emergency requiring immediate intervention, with complications including rebleeding, vasospasm, and hydrocephalus.

Usage

Usage note: Commonly abbreviated as SAH. Distinguish from other types of intracranial hemorrhage by anatomical location.

In Context

  • "CT angiography confirmed subarachnoid hemorrhage with a ruptured anterior cerebral artery aneurysm." — radiology report
  • "The patient developed delayed cerebral ischemia secondary to vasospasm following subarachnoid hemorrhage." — neurocritical care note

Also known as

SAH

Don't confuse with

subdural hemorrhage epidural hemorrhage intracerebral hemorrhage

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