Orginal Publication Date
MCV/Q, Medical College of Virginia Quarterly
Patients who have sustained a spontaneous subarachnoid hemorrhage are victims of a very serious illness. Not only are they subject at all times to the potentially catastrophic results of a recurrent bleed, but they are faced with the manifestations of the irritative effects of blood in the subarachnoid space where the blood may function as a poison to the vessel wall. These acutely ill individuals may suffer a composite of secondary effects from a bleed which may include a communicating hydrocephalus, cerebral edema (ischemic or chemically induced), sterile meningitis, inappropriate ADH syndrome (osmotic effects of blood in the cerebrospinal fluid), spasm, and the likelihood of a recurrent bleed.
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