Seventeen cases are reported in which fatal subarachnoid haemorrhage was associated with injury to the upper cervical region. Most of these cases were alcohol-intoxicated, most had sustained their injuries in an altercation, and death was usually but not invariably rapid. It is proposed that trauma to the upper cervical region can cause subarachnoid haemorrhage, by a mechanism involving trackin...

Subarachnoid haemorrhage arises from the accumulation of blood between arachnoid and pia mater resulting an aneurysmal rupture or traumatic head injury. is a life-threatening emergency that requires prompt treatment. The characteristic presenting symptom thunderclap headache, which patients may describe as “worst headache life” further imaging. Associated symptoms include nausea, vomiting, dipl...

OBJECTIVE To assess long-term unmet needs in relation to community integration and employment status 4 years after subarachnoid haemorrhage. DESIGN Four-year follow-up of a prospective cohort. PATIENTS Sixty-seven patients with subarachnoid haemorrhage. METHODS Employment status was assessed and the Community Integration Questionnaire-Revised and Southampton Needs Assessment Questionnaire...

The great majority of acute brain injury results from trauma or from disorders of the cerebrovasculature, i.e. ischaemic stroke or haemorrhage. These injuries are characterized by an initial insult that triggers a cascade of injurious cellular processes. The nature of these processes in spontaneous intracranial haemorrhage is poorly understood. Subarachnoid haemorrhage, a particularly deadly fo...

OBJECTIVE To assess the relationship of coping style with depression, burden and life satisfaction in caregivers of patients with subarachnoid haemorrhage. DESIGN Cross-sectional study. PARTICIPANTS Forty-one primary caregivers of patients with subarachnoid haemorrhage. METHODS Caregivers completed several questionnaires within the first year after subarachnoid haemorrhage. Coping style w...

BACKGROUND Despite several randomised controlled trials, there is still much debate whether nimodipine improves outcome in patients with traumatic subarachnoid haemorrhage. A 2003 Cochrane review reported improved outcome with nimodipine in these patients; however, because the results of Head Injury Trial (HIT) 4 were only partly presented there is still discussion whether patients with traumat...

The hypothalamus and myocardium of 12 patients who had died after a subarachnoid haemorrhage, and of six patients who had died from other intracranial pathology were examined. Only in the patients who had died from subarachnoid haemorrhage were histological lesions found in both the hypothalamus and myocardium. The possible significance of these findings is discussed with particular reference t...

A case of subarachnoid haemorrhage due to rupture of a middle cerebral artery aneurysm followed by immediate enlargement of a carotid intra-cavernous aneurysm is described. The enlargement of the second aneurysm was due to a rise in blood pressure caused by the subarachnoid haemorrhage. Although multiple aneurysms are common, this phenomenon is very rare and the reasons for this are discussed.

Cerebral venous sinus thrombosis can present with a variety of clinical symptoms ranging from isolated headache to deep coma. Subarachnoid haemorrhage is a rare presentation. In the report, we describe a case of non-puerperal venous thrombosis of many dural sinuses manifesting on imaging solely as localized subarachnoid haemorrhage without underlying parenchymal involvement.

OBJECTIVE To identify high risk clinical characteristics for subarachnoid haemorrhage in neurologically intact patients with headache. DESIGN Multicentre prospective cohort study over five years. SETTING Six university affiliated tertiary care teaching hospitals in Canada. Data collected from November 2000 until November 2005. PARTICIPANTS Neurologically intact adults with a non-traumatic...