5. Subarachnoid Hemorrhage

  1. Edward M. Manno MD, FCCM, FAAN, FAHA
  1. Muhammad A. Taqi MD and
  2. Michel T. Torbey

Published Online: 11 APR 2012

DOI: 10.1002/9781118297162.ch5

Emergency Management in Neurocritical Care

Emergency Management in Neurocritical Care

How to Cite

Taqi, M. A. and Torbey, M. T. (2012) Subarachnoid Hemorrhage, in Emergency Management in Neurocritical Care (ed E. M. Manno), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781118297162.ch5

Editor Information

  1. Neurological Intensive Care Unit Cleveland Clinic Cleveland, OH, USA

Author Information

  1. Department of Neurology and Neurosurgery, The Ohio State University, Columbus, OH, USA

Publication History

  1. Published Online: 11 APR 2012
  2. Published Print: 11 MAY 2012

Book Series:

  1. Neurology in Practice

Book Series Editors:

  1. Robert A. Gross and
  2. Jonathan W. Mink

Series Editor Information

  1. Department of Neurology, University of Rochester Medical Center, Rochester, NY, USA

ISBN Information

Print ISBN: 9780470654736

Online ISBN: 9781118297162



  • Subarachnoid hemorrhage;
  • Fisher grade;
  • CSF;
  • imaging;
  • signs and symptoms;
  • rebleeding


Early management of aneurysmal subarachnoid hemorrhage (SAH) aims toward the general ABCs (airway, breathing, and circulation) and measures to prevent rerupture of the aneurysm. Early and strict blood pressure control, prophylactic antiepileptics, avoidance of unnecessary stimulus (central lines insertion, etc.) that could increase intracranial pressure and early coiling or clipping are key factors in preventing rebleed. The most common early effect of SAH is hydrocephalus; prompt recognition and management of this potential complication can prevent poor outcomes.