25 year old weight lifter experienced sever headache during training. CSF tap done on the medical ward showed blood stains. What is the likely diagnosis?
The diagnosis is subarachnoid hemorrhage due to ruptured aneurysm. The term subarachnoid hemorrhage (SAH) refers to extravasation of blood into the subarachnoid space between the pial and arachnoid membranes. Intracranial saccular aneurysms ("berry aneurysms") represent the most common etiology of nontraumatic SAH; about 80% of cases of SAH result from ruptured aneurysms.The diagnosis is confirmed radiologically urgent CT scan without contrast.
Cluster headache
Rupture aneurysm
Embolism
Migraine