Uncategorized [Polarized Prognosis] Traumatic Subarachnoid Hemorrhage (tSAH): Risks of Vasospasm and Hydrocephalus
Traumatic Subarachnoid Hemorrhage (tSAH), caused by a blow to the head, has characteristics that set it apart from other types of traumatic bleeding. If the bleeding is minor and isolated, the prognosis is excellent, and treatment is primarily conservative. However, if it is accompanied by severe brain injury or delayed complications—such as cerebral vasospasm or hydrocephalus—the condition can rapidly deteriorate, leading to a poor prognosis.This article explains the principles of conservative treatment for tSAH and why surgical interventions, such as V-P Shunting, are necessary in severe cases. We also focus on the risk of delayed hydrocephalus, which can manifest as cognitive impairment or gait disturbance (Hakim’s Triad) long after the initial injury.