Systematic Approach for Diagnosis of Aneurysmal Subarachnoid Hemorrhage

Adel E. Ahmed Ganaw, Moad Ehfeda, Nissar Shaikh, Marcus Lance, Abdussalam Abugrara, Sirajeddin Belkhair

Research output: Chapter in Book/Report/Conference proceedingChapterpeer-review


Although aneurysmal subarachnoid hemorrhage (aSAH) represents a small percentage of hemorrhagic strokes, it is associated with severe devastating complications that carry high morbidity and mortality rates. Early recognition and intervention are vital to improve the outcome of these patients. However, clinicians especially emergency doctors face many challenges to timely diagnose aSAH. Emergency doctors should have high index of suspicion as well as a cautious approach to evaluate patients who present with headache which is the chief complain of aSAH. In this chapter we discuss a systematic approach to diagnose and assessment of aSAH. It describes the importance of detailed history, clinical examination, diagnostic work up, and limitations of diagnostic investigations.

Original languageEnglish
Title of host publicationManagement of Subarachnoid Hemorrhage
PublisherSpringer International Publishing
Number of pages11
ISBN (Electronic)9783030813338
ISBN (Print)9783030813321
Publication statusPublished - 1 Jan 2021
Externally publishedYes


  • Acute headache
  • Aneurysmal subarachnoid hemorrhage
  • Cerebral angiography
  • Computed tomography (CT) scan
  • Diagnosis
  • Imaging
  • Lumbar puncture
  • Magnetic resonance image (MRI)


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