Investigation of choice for SAH is
Ans: a) Non enhanced CT SAH is caused by damage to blood vessels on the pia- arachnoid.Non contrast CT scanning of the brain is the first step in the evolution of SAH. If the scan is performed within 12- 24 hrs after hemorrhage, 92 - 100 % cases can be detected. After 1 day and upto 1 week CT scans performed will appear normal.On CT scans, SAH present as hyperdensity representing acute hemorrhage visualized in the sulci overlying the cerebral convexities, within the sylvian fissurs, basal cisterns and interhemispheric fissure.Non enhanced CT is the modality of choice in the evaluation of SAH because of the hyperdensity clotted blood.It is difficult to visualize SAH with MRI because the high O, concentration in CSF prevents the degradation of oxyHb to deoxyHb.
Non enhanced CT
Enhanced CT
Non enhanced MRI
Gd enhanced MRI
Nervous System