Dr. John D. Lipani is a board-certified, fellowship-trained neurosurgeon practicing state-of-the-art neurosurgery in New Jersey. Dr. Lipani is dedicated to ensure every patient receives unparalleled personalized attention with experience, compassion and excellence.
Subarachnoid hemorrhage is bleeding in the area between the brain and the thin tissues that cover the brain. This condition may occur as a result of bleeding from other conditions, including an arteriovenous malformation (AVM), a ruptured aneurysm, a head injury, the use of blood thinners or from unknown causes. It is most common in those with high blood pressure, a history of kidney disease, cerebral aneurysms and those who smoke.
The main subarachnoid hemorrhage symptom is a severe headache that starts suddenly that is often worse near the back of the head. The headache may start after a popping or snapping feeling in the head and is usually described as, "the worst headache of my life."
Other subarachnoid hemorrhage symptoms include:
If a subarachnoid hemorrhage is suspected, your doctor will likely perform a physical and neurological exam, as well as a CT scan of the head to detect bleeding. An angiogram may be necessary to determine the exact location and cause of the bleeding. Once diagnosed, immediate treatment is required to reduce the risk of serious complications, permanent damage and further hemorrhage.
Subarachnoid hemorrhage surgery is often necessary to secure burst blood vessels or aneurysms and alleviate pressure on the brain. This may include a craniotomy, which involves making a hole in the skull, followed by aneurysm clipping, which cuts off blood supply to the aneurysm. A less invasive procedure called endovascular coiling may also be performed, which places coils within the aneurysm to reduce the risk of further bleeding. After the surgery, painkillers and anti-anxiety medications may be effective in relieving headache symptoms and reducing pressure on the brain, while bed rest is often recommended as well to prevent unnecessary straining.
In general, one third of patients who suffer a subarachnoid hemorrhage from a ruptured aneurysm will survive with good recovery. Subarachnoid hemorrhage recovery and prognosis are highly dependent on the severity of the initial subarachnoid hemorrhage.
For more information about subarachnoid hemorrhage treatment, contact the office of Dr. John D. Lipani at (609)-890-3400 today!
