Subarachnoid Haemorrhage
Causes of subarachnoid haemorrhages
Source: NHS
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A subarachnoid haemorrhage is most often caused by a brain aneurysm.
A Aneurysm, abdominal aortic is a bulge in a blood vessel, caused by a weakness in the blood vessel wall, usually at a point where the vessel branches off. As blood passes through the weakened vessel, the pressure causes a small area to bulge outwards like a balloon.
Occasionally, this bulge can burst (rupture), causing bleeding around the brain. Around eight out of every 10 subarachnoid haemorrhages happen in this way.
Abrain aneurysm doesn't usuallycause any symptoms unless it ruptures. However, some people with unruptured aneurysms experience symptoms such as:
- sight problems
- pain on one side of the face or around the eye
- persistent headaches
It's not known exactly why brain aneurysms develop in some people, although certain risk factors have been identified. These include:
- smoking
- high blood pressure
- excessive alcohol consumption
- a family history of the condition
- some rarer conditions, such as autosomal dominant polycystic kidney disease (ADPKD)
Most brain aneurysms won't rupture but a procedure to prevent subarachnoid haemorrhages is sometimes recommended if they're detected early.
Other causes
Less common causes of subarachnoid haemorrhages include:
- arteriovenous malformations where blood vessels develop abnormally
- a brain tumour damaging the blood vessels both cancerous and non-cancerous brain tumours can cause a subarachnoid haemorrhage
- a brain infection, such as encephalitis
- fibromuscular dysplasia a rare condition that can cause the arteries to narrow
- Moyamoya disease a rare condition that causes blockages inside the brain's arteries
- vasculitis where the blood vessels inside the brain become inflamed (swollen), which can be caused by a wide range of problems, such as infection or the immune system attacking healthy tissue
Articles for Subarachnoid Haemorrhage
Causes of subarachnoid haemorrhages
A subarachnoid haemorrhage is most often caused by a brain aneurysm. Occasionally, this bulge can burst (rupture), causing bleeding around the brain. Around eight out of every 10 subarachnoid haemorrhages happen in this way.
Complications of a subarachnoid haemorrhage
If you have a subarachnoid haemorrhage, there is also a risk of developing further problems. Delayed cerebral ischaemia, or vasospasm, is another serious and common complication of a subarachnoid haemorrhage.
Diagnosing a subarachnoid haemorrhage
In some cases, a subarachnoid haemorrhage isn't picked up by a CT scan. If a CT scan is negative, but your symptoms strongly suggest you've had a haemorrhage, a test called a lumbar puncture will usually be carried out.
How long does it take to recover from subarachnoid haemorrhage
The amount of time it will take you to recover from a subarachnoid haemorrhage will depend on the severity of the haemorrhage. Recovery can be a frustrating process. You may make a lot of progress and then suffer setbacks you will have good days and bad days.
Introduction
A subarachnoid haemorrhage is an uncommon type of stroke caused by bleeding on the surface of the brain. It is a medical emergency and a very serious condition that can be fatal.
Patient story: "After my brain injury, there were suddenly men everywhere who I fancied."
Heather had a brain haemorrhage in 2005, which led to a personality change.
Treating subarachnoid haemorrhages
If you're diagnosed with a subarachnoid haemorrhage, or a diagnosis is strongly suspected, you'll usually be transferred to a specialist neurosciences unit. In more severe cases, you may be transferred to an intensive care unit (ICU) .