Nonaneurysmal subarachnoid hemorrhage: a review of clinical course and outcome in two hemorrhage patterns

J Neurosci Nurs. 2007 Jun;39(3):135-42.


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.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Cerebral Angiography
  • Cost of Illness
  • Family / psychology
  • Female
  • Headache / etiology
  • Humans
  • Intracranial Aneurysm / complications
  • Male
  • Mesencephalon*
  • Middle Aged
  • Nurse's Role
  • Nursing Assessment
  • Patient Education as Topic
  • Prognosis
  • Recovery of Function
  • Risk Factors
  • Severity of Illness Index
  • Social Support
  • Subarachnoid Hemorrhage* / diagnosis
  • Subarachnoid Hemorrhage* / etiology
  • Subarachnoid Hemorrhage* / therapy
  • Survivors / psychology
  • Tomography, X-Ray Computed
  • Treatment Outcome