Subarachnoid Hemorrhage: Or something else? Differential Diagnosis

Endocrine, nutritional, and metabolic diseases (E00-E90).

  • Metabolic derangements, e.g., in the setting of diabetes mellitus (diabetic coma) or liver disease, in which there may be impaired consciousness with emesis (vomiting)

Cardiovascular system (I00-I99).

  • Intracerebral hemorrhage (ICB; cerebral hemorrhage).
  • Cerebral sinus vein thrombosis (SVT) – occlusion of a cerebral sinus (large venous blood vessels of the brain arising from duraduplications) by a thrombus (blood clot); clinical presentation: headache, congestive papules, and epileptic seizures

Infectious and parasitic diseases (A00-B99).

Psyche – nervous system (F00-F99; G00-G99)

  • Cluster headache – pain occurs in attacks and is unilateral and severe; usually located behind the eye; the marked urge to move associated with the attack is described as pathognomonic (proving a disease)!
  • Hydrocephalus – pathological expansion of the fluid spaces filled with cerebrospinal fluid (brain ventricles) of the brain.
  • Meningitis (meningitis)
  • Meningoencephalitis (combined inflammation of the brain (encephalitis) and meninges (meningitis)).
  • Migraine

Symptoms and abnormal clinical and laboratory findings not elsewhere classified (R00-R99).

  • Meningismus (painful neck stiffness) of other cause.

Injuries, poisonings, and other sequelae of external causes (S00-T98).

Other differential diagnoses

  • Insufficient cerebrospinal fluid shunt (synonym: cerebral shunt) – surgically created connection between the ventricular system of the brain and other body cavities; is used, among other things, in occlusive hydrocephalus (hydrocephalus occlusus; pathological/diseased expansion of the fluid-filled fluid spaces (cerebral ventricles) of the brain) and serves to drain the cerebrospinal fluid (brain water).