Article Title
Keywords
Subarachnoid Hemorrhage, Non-Aneurysmal SAH, Marijuana use, Cannabis habit, Post-Coital Headache
Disciplines
Medicine and Health Sciences | Neurology
Abstract
Etiology of unprovoked subarachnoid hemorrhage (SAH) is predominantly from cerebral aneurysm rupture and manifests classically as a thunderclap headache. Orgasmic cephalgia may herald SAH given that 4-12% of SAH sufferers were found to have engaged in prior sexual activity.(1) Precipitating causes of SAH leading to aneurysmal rupture may be the rise in blood pressure caused by physical activity. A conventional angiogram (CTA) is used to reveal a source of the bleed and but occasionally this is normal, and is labelled angiogram-negative SAH or non-aneurysmal SAH. In those cases digital subtraction imaging (DSA) is needed for verification. Herein we discuss an instance of angiogram negative SAH which occurred after sexual activity in a young male with a chronic cannabis habit.
Recommended Citation
May, Dakota T. and Lozowska, Dominika
(2019)
"Angiogram negative subarachnoid hemorrhage in the setting of sexual intercourse and chronic cannabis use,"
Marshall Journal of Medicine:
Vol. 5:
Iss.
2, Article 4.
DOI: 10.33470/2379-9536.1211
Available at:
https://mds.marshall.edu/mjm/vol5/iss2/4