February 2025 – Grand Rounds Please watch the video and complete the quiz and survey VIDEO LINK — CROUSE NGR FEB 2025 PADALINO — Typical symptoms of spontaneous ruptured aneurysm/SAH? Sudden onset thunderclap headache, photophobia, nuchal rigidity Cognitive decline, gait instability, urinary incontinence Tremor, nystagmus, scanning speech Bradycardia, HTN, irregular respirations None Most common age group for spontaneous aneurysm rupture? 0-20 years 40-60 years 80-100 years None of the above None Secured ruptured aneurysm within 24h w/o complications = low risk of neuro decline within 2wks post-SAH True False None Which cerebral perfusion rate (mL/100g/min) is considered normal? 10-40 40-60 60-100 100-130 None What modifiable factor has the strongest evidence for improving outcomes in aneurysmal SAH? Maintain Glucose 90-180 mg/dL Maintain SBP 90-140 mmHg Enteral nimodipine x 21 days Aneurysm recurrence monitoring None Time’s up
