Chapter 20: Subarachnoid Hemorrhage
Harrison’s Manual of Medicine 20th edition provides 600+ internal medicine topics in a rapid-access format. Download Harrison’s App to iPhone, iPad, and Android smartphone and tablet. Explore these free sample topics:
-- The first section of this topic is shown below --
Excluding head trauma, the most common cause of subarachnoid hemorrhage (SAH) is rupture of an intracranial saccular aneurysm; other etiologies include bleeding from a vascular malformation (arteriovenous malformation or dural arteriovenous fistula) and extension into the subarachnoid space from a primary intracerebral hemorrhage. Approximately 2% of the population harbor aneurysms, and 25,000–30,000 cases of aneurysmal rupture producing SAH occur each year in the United States; rupture risk for aneurysms <10 mm in size is ∼0.1% per year; for unruptured aneurysms, the surgical morbidity rate far exceeds the percentage.