Nonaneurysmal Subarachnoid Hemorrhage: A Review of Clinical Course and Outcome in Two Hemorrhage Patterns

Linda L. Herrmann; Joseph M. Zabramski


J Neurosci Nurs. 2007;39(6):135-142. 

In This Article

Case Study 1

JG, a 55-year-old Caucasian female, presented to the emergency department (ED) reporting onset of a severe headache earlier that day. Her headache almost completely resolved soon after her arrival at the ED. Her neurological examination was nonfocal with a GCS score of 15. A CT scan demonstrated a perimesencephalic SAH (Fig 1, Fig 2). A conventional four-vessel cerebral angiogram was negative for intracranial aneurysm and arteriovenous malformation. Serial CT scans showed rapid resolution of the perimesencephalic subarachnoid blood, and no hydrocephalus. She was discharged home on her fifth hospital day with no neurological deficits and no discharge needs.

JG came to the outpatient clinic for a 3-week follow-up. On the 12th day after her hemorrhage, she returned to her job as a registered nurse, full time and without difficulty. She noted complete resolution of her previous headaches and no perceived physical or cognitive deficits.