Nonaneurysmal subarachnoid hemorrhage: a review of clinical course and outcome in two hemorrhage patterns.
Patients who experience a nonaneurysmal subarachnoid hemorrhage differ from patients who suffer an aneurysmal subarachnoid hemorrhage in initial presentation (including neurological examination and computed tomography [CT] scans), clinical course, and outcome. A perimesencephalic distribution of nonaneurysmal subarachnoid blood on CT imaging has been described as a distinct clinical entity with a benign course and an excellent prognosis; research suggests that the majority of these patients have excellent outcomes. In most cases, these patients return to their previous level of functioning. Surviving a subarachnoid hemorrhage can be emotionally devastating to patients and their families and can threaten employment and health insurance eligibility. Using evidence-based practice, neuroscience nurses can reassure and educate patients, staff members, and the public and facilitate their understanding of the clinical course and outcome.
Herrmann
Linda L
LL
University of Pennsylvania School of Nursing, Philadelphia, PA, USA. lherm@nursing.upenn.edu
Zabramski
Joseph M
JM
D002533:Cerebral Angiography; D017281:Cost of Illness; D005190:Family / Q000523:psychology; D005260:Female; D006261:Headache / Q000209:etiology; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications; D008297:Male; D008636:Mesencephalon; D008875:Middle Aged; D024802:Nurse's Role; D009730:Nursing Assessment; D010353:Patient Education as Topic; D011379:Prognosis; D020127:Recovery of Function; D012307:Risk Factors; D012720:Severity of Illness Index; D012944:Social Support; D013345:Subarachnoid Hemorrhage / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D017741:Survivors / Q000523:psychology; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome