Could Your Headache Be More Serious? Understanding Aneurysmal Subarachnoid Hemorrhage
Published: Apr 20, 2024
An aneurysmal subarachnoid hemorrhage (SAH) is a rare but life-threatening type of stroke caused by bleeding in the space surrounding the brain. Learn how to identify its warning signs and why quick diagnosis is crucial.
Contents
Spotting the Symptoms
Imagine having the worst headache of your life; this is often how patients describe the sudden onset of an SAH, known as a 'thunderclap headache.' Accompanying symptoms can include neck pain, vomiting, and even brief loss of consciousness. These signs differentiate SAH from other common headaches.
Understanding the Cause
SAH usually results from a ruptured saccular aneurysm, a bulge in a blood vessel in the brain that bursts. This event can happen without warning during regular activities, making it imperative to recognize symptoms quickly for effective treatment.

Diagnosis Challenges
Diagnosing SAH can be tricky because symptoms might resemble other conditions, and early CT scans might miss the bleeding. Doctors often rely on a combination of CT scans and lumbar punctures to confirm the presence of SAH.
Frequently Asked Questions
It's a sudden, severe headache often linked with SAH.
SAH is usually caused by a ruptured aneurysm in the brain.
Some patients experience sudden severe headaches as a warning.
Yes, misdiagnosis can occur due to symptom similarities with other conditions.
Key Takeaway
Recognizing the symptoms of SAH early can be life-saving.
References
- Edlow JA, Caplan LR. Avoiding pitfalls in the diagnosis of subarachnoid hemorrhage. N Engl J Med 2000; 342:29.
- Perry JJ, Sivilotti MJ, Sutherland J, et al. Validation of the Ottawa Subarachnoid Hemorrhage Rule in patients with acute headache. CMAJ 2017; 189:E1379.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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