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What is Which of the following is associated with hyperdensities in sulcal spaces,basal cisterns and anterior hemispheric fissure? and explain in detail?
Subarachnoid Hemorrhage Bleeding in area between arachnoid and piamater mambranes (subarachnoid space) Usually presents with sudden onset of severe headache/ worst headache of life. mostly around the circle of willis. m/c/c of SAH is head trauma. Diagnosis :- On NCCT shows Hyperdensities in sulcal spaces,Syln fissure, Basal cisterns and Anterior interhemispheric fissure. Xanthochromia (of CSF) is indicative of SAH; if CT scan is negative. IOC for Acute SAH(<48 hrs)- NCCT IOC for Chronic SAH(>48hrs)- MRI Management :- Tripple H therapy (Hypeension/Hypervolemia and Hemodilution) is used to treat and prevent cerebral vasospasm after aneurysmal subarachnoid hemorrhage(SAH). Repair of aneurysm- endovascular coiling and surgical clipping.