What is your strategy for treating persistent headaches in the aftermath of subarachnoid hemorrhage?
Does your strategy change depending on whether or not it is a secured or unsecured aneurysmal SAH?
Answer from: at Community Practice
I have encountered several male patients with non-aneurysmal SAH who experienced persistent and significant headaches. These patients, aged between 35 and 45, were all smokers, and I strongly suspected that two of them had OSA. The headaches sounded migrainous and none of the patients endorsed havin...
Comments
at UPMC
That was a very good and concise summary.
That was a very good and concise summary.
at Huntsville Hospital
I have recently had a post-nonaneurysmal SAH patie...
I have recently had a post-nonaneurysmal SAH patie...
Answer from: at Academic Institution
Check for vasospasm and hydrocephalus in either case.
Answer from: at Community Practice
In the hyper-acute phase (before securing the aneurysm), I typically administer IV Fentanyl to help patient feel at ease. However it's crucial not to overuse it, as this can lead to lethargy and potentially compromise the accuracy of the neuro-exam. Once aneurysm is secured, I initiate Gabapentin as...
I love the idea of magnesium infusions. Gabapentin...
We are also implementing nerve blocks in the neuro...
How effective has anyone found steroids in reducin...
In my experience, they can be very helpful, but th...