Sub-Arachnoid Hemorrhage (SAH)

by J. Michael Pece

I am recovering from a sub-arachnoid hemorrhage. What is a sub-arachnoid hemorrhage you ask? Its when a blood vessel underneath the skull and the membrane and the brain ruptures. Thus leading to bleeding in the brain . Bleeding in the brain can destroy brain tissue causing a variety of problems for the patient.

Mine occurred August 4, 20011. I was walking around my front yard, near an ditch, in the early morning when suddenly I fell unconscious and hit my head, apparently on a rock. I do not remember the incident. It was during a heat wave, here where we live, and the temperature was around 110 degrees. I lay unconscious for about three hours in the blazing sun, until a neighbor, who lives about 1/4 mile away noticed our dogs were loose and in his workshop. Since we never let our dogs loose, he immediately came over to see why they were loose. He found the front door opened and a man separated from our yard by a 10 foot fence screaming for him to help me. He then found me lying on the top of the ditch unconscious and bleeding from the back of the head.

My neighbor called 911 and soon the EMT's and the fire truck were on the scene attending me. Thank God for neighbors.

I was taken to the nearest hospital and immediately had a CT scan done. It showed bleeding in the brain. I was still unconscious and had no idea what was going on, I've only been told later. My wife was called by the EMT's at work and she immediately came to the Hospital ER to see me. The Emergency Department doctors tried to stop the bleeding and stabilized me, but could not. They then told my wife that I would need to go to a hospital which treated brain hemorrhages and had a Neurosurgical team on board.

An ambulance was called and I was taken to another hospital renown for their neurological department and actually was where I had gone as an outpatient for 2 1/2 years after my previous traumatic brain injury.They took and MRI and CT scan and saw the bleeding and began working to stop the bleeding. The choice was to use a coagulating drug to try and stop it or do surgery. They tried the drug first. I became conscious enough that I could tell the doctors that my head hurt tremendously.
And they began giving me morphine and when that did not work they gave me a combination of painkillers which immediately knocked me out again.my wife went home to tend to the dogs after the doctors told he they wouldn't know anything until early morning.

The next morning my wife called the hospital at 6:30 am, and was told by the nursing staff that the bleeding had been stopped by the drugs, but I was still unconscious.
I have absolutely no recollection of August 4th, 5th, 6th or 7th. On the fifth day I began to remember consciousness. On the sixth day the hospital sent me to an in-house
rehabilitation clinic. There I underwent Occupational therapy (how to dress,, brush your teeth, comb your hair, etc), Speech therapy, and physical therapy.

My main lasting effect was dizziness. I was extremely dizzy.After an brain hemorrhage after effects can be things such as dizziness, loss of speech, loss of movement, headaches, loss of memory, and loss of self. Luckily I just suffered from dizziness, loss of memory and difficulty speaking certain polysyllable words. I left rehab with a walker to help me get around and a shower chair for taking showers without falling.

This week I went to the Neurosurgeon for my 6 week follow up and he said my most recent CT scan did not show any bleeding and he felt relatively sure that the chances of a re-occurrence was as close to zero as possible provided I did not fall and hit my head again.

Today my speech is almost back to normal, my dizziness is getting better as time goes on, and I have no head aches. I was lucky.

I was lucky the first hospital was only 10 minutes away and they recognized they could not help me besides stabilizing me, and transferring me to the best Neurological Hospital in the city where we live. I was lucky a neighbor found me when he did or I would have died of exposure to the heat, I was lucky that I was transferred to the best Neurological hospital in our city, I was lucky I will have no lasting effects from this brain hemorrhage. For all of this I am thankful. Most of all I am lucky to be married to such a wonderful wife who nursed me back to health and cautioned me against doing "too much" or doing the wrong things.

Having a brain bleed is nothing to be shy about. Signs are headache, stiff neck, confusion, inability to speak, inability to walk and total confusion. If you ever have these symptoms get help at a hospital immediately. In my case having a brain hemorrhage caused by a head trauma there is a 46 - 75% chance of permanent vegetative state, or mental deficits or death. Luckily I was in that 25% that recover.

If you want to learn more about Sub-arachnoid Hemorrhage or other brain bleed strokes Google PubMed,WebMD, or Medscape and learn about this potentially deadly experience.