Headache that starts suddenly, is very severe, does not go away and does not respond to medication should be taken into consideration. Prof. Dr. Mustafa Bozbuğa stated that such headaches may be the leading symptom of a severe cerebral hemorrhage called "Spontaneous Subarachnoid Hemorrhage (SAH)" and warned that "SAH has very severe consequences; however, when it is recognized and intervened in time, the chance of treatment and success rate is high."

Üsküdar University NPISTANBUL Hospital Neurosurgeon Prof. Dr. Mustafa Bozbuğa said that Spontaneous Subarachnoid Hemorrhage (SAH), which occurs mostly in the transition seasons, mostly spring and autumn, manifests itself with severe headache.

Prof. Dr. Mustafa Bozbuğa stated that headache is a common condition experienced by almost everyone and said, "However, the fact that this pain you experience is sudden and severe and does not respond to medication may actually indicate an important disease underlying the headache."

Pay attention to sudden and severe headache

Prof. Dr. Mustafa Bozbuğa stated that headache that starts suddenly, is very severe, does not go away and does not respond to medication may be the leading symptom of a severe cerebral hemorrhage, which we call "Spontaneous Subarachnoid Hemorrhage (SAH)", one of many serious diseases, and gave the following information:

"SAH has very severe consequences; however, when it is recognized and intervened in time, the chance of treatment and success rate is high. The headache may be accompanied by many neurological and non-neurological symptoms and findings such as stiffness in the nape of the neck, nausea, vomiting, impaired level of consciousness - coma, loss of strength in the arms and legs, sensory disturbances, speech disorders with loss of understanding and/or expression, visual disturbances, epileptic (epilepsy) attacks. The fact that the clinical picture is so rich is due to the sudden onset and rapid development of the event, the spread of a large volume of blood to the cerebrospinal cord and nerves with a very high pressure, thus affecting the entire nervous system both volumetrically and functionally in a widespread manner."

More common in spring

Prof. Dr. Mustafa Bozbuğa said, "An important and surprising observation in SAH is that bleeding occurs during the transition seasons, mostly in spring and autumn; although the cause is not fully proven and unknown, this is thought to be more related to changes in air pressure."

It creates a bubble in the vessel

Prof. Dr. Mustafa Bozbuğa stated that "Spontaneous Subarachnoid Hemorrhage" occurs 80 percent of the time as a result of rupture and bleeding of a bubble (aneurysm) in the cerebral artery. Prof. Dr. Mustafa Bozbuğa said, "It is widely accepted that aneurysms are formed with the addition of acquired hemodynamic factors related to blood flow and processes affecting the structure of the vessel wall on top of congenital vascular wall weakness; however, the process is still not known in full detail."

Occurs between the ages of 40-60

Prof. Dr. Mustafa Bozbuğa said that although brain vessel bubbles (congenital saccular aneurysms) have a congenital onset, the emergence of these lesions usually occurs between the ages of 40-60 and very often with SAH (Spontaneous Subarachnoid Hemorrhage), which is a severe brain hemorrhage.

Prof. Dr. Mustafa Bozbuğa stated that SAH can also occur at lower rates in early age groups and advanced age groups and said, "In short, although it can be seen in all age groups, we can say that the emergence of these lesions is concentrated in the fifth and sixth decades."

Attention should be paid to familial history

Noting that race and regional characteristics are important in the frequency of brain aneurysms and that the incidence of aneurysms is high in some societies and families, Prof. Dr. Mustafa Bozbuğa gave the following information

"Therefore, we can say that genetic factors are important. Approximately one tenth of patients with brain aneurysms and spontaneous subarachnoid hemorrhage have a family history; it is known that the clinical picture in these patients usually occurs at an earlier age and proceeds more severely. Age and gender are also important factors. Although it is seen in all age groups, it is slightly more common in women in the 40-60 age group. Among the acquired (non-congenital) factors, hypertension, diabetes, smoking, narcotics, alcoholism, infections such as inflammation in the blood, and head-brain impacts that affect the vascular structure and blood-flow dynamics play a role in aneurysm formation. In the natural course of brain aneurysms, more than 90 percent occur when the aneurysm ruptures and bleeds. This is a very severe cerebral hemorrhage called Spontaneous Subarachnoid Hemorrhage (SAH). In this clinical picture, the process is extremely dynamic and serious because it is necessary to diagnose and treat the aneurysm and the accompanying severe cerebral hemorrhage and a series of complications triggered by this hemorrhage."

Be careful if you have these symptoms!

Prof. Dr. Mustafa Bozbuğa warned to pay attention to these symptoms:

- Severe, persistent and painkiller-resistant headache, nausea and vomiting
- Loss of strength and/or sensation in the arms and legs
- Speech disorders
- Visual disturbances
- Gait disorders