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Neurology
Subarachnoid Hemorrhage                                                                                                                                  

DX: CT scan of the head.

Hunt and Hess Classification of Subarachnoid Hemorrhage

Classification Symptoms

  • Grade I    - Asymptomatic of minimal headache and slight nuchal rigidity.
  • Grade II   - Moderate to severe headache, nuchal rigidity, no neurologica deficit other than cranial nerve palsy.
  • Grade III  - Drowsiness, confusion, or mild focal deficit.
  • Grade IV  - Stupor, moderate to severe hemiparesis, possible early decerebrate ridigity and vegetative disturbance.
  • Grade V  -   Deep coma, decerebrate ridigity, moribund appearance.

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