Subarachnoid

Question 0

Risk factors for SAH

Answer 0

Htn dia 105, smoking, fungal, oct, liver, trauma, arm, cocaine, amph

Question 1

Percent of stroke that are SAH

Answer 1

10

Question 2

Biggest risk factor for SAH

Answer 2

Fibro muscular dysplasia 25% of aneurysm

Question 3

Most common place for Subarachnoid aneurysm

Answer 3

1/3rd are in anterior
Internal carotid bifurcation with post
Ic with mca

Question 4

How many with aneurysm have more than 1

Answer 4

25 percent

Question 5

Percent of SAH assoc with poly coatis kidney disease

Answer 5

3% overrated

Question 6

Mean age of SAH

Answer 6

50

Question 7

Context of SAH

Answer 7

60 % During activity.

Question 8

Don’t forget about asking about what w SAH in history

Answer 8

Prior episodes

Question 9

Types of activity associated with SAH

Answer 9

Colitis dedication emotional strain I

Question 10

What does mydriasis mean

Answer 10

Cranial nerve 3 deficit, uncal hernia midbrain problem

Question 11

Cn 3 plus Hemiparesis wo gate abnormality

Answer 11

Weber syndrome

Posterior communicating

Question 12

Lab findings with SAH

Answer 12

Hyponatriemia

Qt

Question 13

Cz of SAH Na deficit

Answer 13

Salt wasting, cerebral wasting, siadh

Question 14

Cz of nuchal rigidity patho

Answer 14

Blood degradation products irritate the pia arachnoid which cause stiffness

Question 15

Peak of vasospasm in days

Answer 15

4 to 14 days

Question 16

How do you detect vasospasm

Answer 16

Trancranial Doppler can be used to detect a change in flow velocity

Question 17

How is a acute communicating hydrocephalus caused from patho

Answer 17

Subarachnoid granulation in the venous sinuses obstruct

Question 18

Percent of nontraumatic aneurysm that are caused by berry

Answer 18

80%

Most are associated w trauma

Question 19

SAH associated with what vital.

Answer 19

Diastolic 110

Question 20

Head ct sensitivity of SAH

Answer 20

85 to 90, miss 10 to 15

Question 21

When is ct most sensitive for dr erecting SAH

Answer 21

At 24 hr

Question 22

When is lp most sensiive for SAH

Answer 22

12 hr

Question 23

What percent of lp miss SAH

Answer 23

10 to 15

Question 24

How do you scene for aneurysm of SAH

Answer 24

Ct MRI angio

Question 25

Percent of SAH that die in the first 30 days

Answer 25

60 percent

Question 26

Hess and hunt category

Answer 26

1. Nuchal and mild ha 2. Nuchal and sever ha 3. Nuchal and confusion 4. Nuchal and Hemiparesis 5. Nuchal and comatosed

Question 27

What does miningius mean

Answer 27

Inflammation without infection

Question 28

What is the miningismus triad

Answer 28

Headache Neck Photophobia

Question 29

Drug if choose to prevent vasospasm

Answer 29

Nimotop

Question 30

Sensitivity and specificity of kernig and brudinski ski

Answer 30

5% sens but 95%

Question 31

What is the sensitivity of nuchal rigidity

Answer 31

30 sens 80 sens

Question 32

If you see a SAH rupture and are thinking neurosurgey

Answer 32

Conventional angiography

Question 33

What consult will you place for an SAH

Answer 33

Coiling specialist. Neurointerventionalist

Question 34

Grade and surgery for SAH

Answer 34

Low grade is coil | High grade clip

Question 35

When do you clip an aneurysm

Answer 35

Before two days or after 2 weeks

Question 36

Complication of SAH

Answer 36

Siadh | Hydrocephalus

Question 37

Mainstay med management of SAH

Answer 37

``` Triple H therapy Htn Hyper volume Hemodilution Nimodipine ```

Question 38

How do you evaluate hyper acute Hemiparesis

Answer 38

Diffuse weight MRI

Question 39

SAH w 3 rd cranial nerve problem suggests which artery

Answer 39

Posterior communicating

Question 40

SAH e cn 6 suggest what type of artery

Answer 40

Posterior fossa or increase pressure.

Question 41

What do you call a bleed from am unruptures aneurysm

Answer 41

Sentinel bleed

Question 42

What percent of stroke is SAH

Answer 42

5%

Question 43

What present of primary stroke is anueysm

Answer 43

80 an

Question 44

What percentage of aneurysm re bleeding? | Mortality if untreated ?

Answer 44

50% | 50% mortality of untreated

Question 45

Where are all aneurysms located? | If not there, what?

Answer 45

Circle of Willis My Cotic Avm induced aneurysm

Question 46

Work up for SAH

Answer 46

Ct to locate bleed, mra | Catheter angio

Question 47

Most common places for aneurysm

Answer 47

Communicators (ant and pos) 35%

Question 48

What imaging is good for encephalopathy

Answer 48

MRI dt white matter changes

Question 49

HSV perfer what area of the brain

Answer 49

Insular and temporal lobe