Subarachnoid Hemorrhage: Symptoms, Causes, Diagnosis, and Treatment

What is Subarachnoid Hemorrhage?

Subarachnoid hemorrhage is a type of brain bleed. It happens when blood leaks into the space around the brain. This space is called the subarachnoid space. Often, this condition is sudden and serious. In the United States, subarachnoid hemorrhage is a medical emergency. The main causes of subarachnoid hemorrhage include ruptured blood vessels or trauma. Early signs, such as a sudden severe headache, can help spot the problem. Knowing the symptoms and causes of subarachnoid hemorrhage can save lives.

Common Symptoms

Symptoms of subarachnoid hemorrhage often appear quickly. Because this condition is serious, it is important to recognize the signs early. For example, you may notice:

  • Sudden, severe headache (often called the “worst headache of your life”)
  • Nausea or vomiting
  • Stiff neck
  • Blurred or double vision
  • Loss of consciousness
  • Seizures
  • Sensitivity to light
  • Confusion or trouble speaking
  • However, not everyone has all these symptoms. If you notice any of these signs, seek medical help right away.

    Causes and Risk Factors

    There are several causes of subarachnoid hemorrhage. Most often, a weak spot in a blood vessel, called an aneurysm, bursts. Sometimes, head injuries can also cause this type of brain bleed. Other risk factors include:

  • High blood pressure
  • Smoking
  • Heavy alcohol use
  • Family history of brain aneurysms
  • Older age
  • Use of certain drugs, like cocaine
  • Because some risk factors can be controlled, making healthy choices can help lower your risk.

    How Subarachnoid Hemorrhage is Diagnosed

    Doctors use several tests to diagnose subarachnoid hemorrhage. First, they ask about your symptoms and medical history. Then, they may order a brain scan, such as a CT scan or MRI. These tests can show bleeding in the brain. In some cases, doctors may do a lumbar puncture. This test checks for blood in the fluid around the brain. Early diagnosis is key, so do not delay if you notice warning signs.

    Treatment Options

    Treatment for subarachnoid hemorrhage starts in the hospital. Doctors focus on stopping the bleeding and preventing more damage. Common treatments include:

  • Medications to control blood pressure
  • Pain relief
  • Surgery to repair the blood vessel (clipping or coiling)
  • Monitoring in an intensive care unit
  • Sometimes, doctors use special procedures to prevent future bleeding. Quick treatment improves the chances of recovery.

    Recovery and Lifestyle Guidance

    Recovery after a subarachnoid hemorrhage can take time. Some people may need physical therapy or speech therapy. Others may need help with memory or daily tasks. However, many people improve with support. It is important to follow your doctor’s advice. For example, you may need to:

  • Take medications as prescribed
  • Attend follow-up appointments
  • Rest and avoid heavy lifting
  • Eat a healthy diet
  • Stop smoking and limit alcohol
  • With time and care, many people return to their usual activities.

    Prevention Tips

    While not all cases can be prevented, you can lower your risk. Try these tips:

  • Keep your blood pressure under control
  • Do not smoke
  • Limit alcohol use
  • Exercise regularly
  • Eat a balanced diet
  • Manage stress
  • See your doctor for regular check-ups
  • Because some risk factors are genetic, talk to your doctor if you have a family history of brain aneurysms.

    If you or someone you know has symptoms of a subarachnoid hemorrhage, seek emergency care. Consult Dr. Pravallika Dutta, a neurologist or neurosurgeon, for personalized advice if you suspect a subarachnoid hemorrhage.