Which non-neurological complications may result from SAH?

Systemic COmplications
Metabolic
  • Fever
  • Hyperglycemia
  • Disorders of sodium balance (50-60%):
    • Syndrome of inappropriate antidiuretic hormone secretion
    • Cerebral salt wasting syndrome
    • Diabetes insipidus
  • Hypokalaemia
  • Hypomagnesaemia
Respiratory
  • Neurogenic / cardiogenic pulmonary oedema
  • Pneumonia
  • ARDS
  • Atelectasis
Cardiovascular
  • Neurogenic stunned myocardium syndrome (15%) - catecholamine induced, similar to Takutosubo's:
    • LV dysfunction (systolic and diastolic)
    • Regional wall motion abnormalities
    • Cardiogenic shock
    • ECG changes and troponin rise
  • Arrhythmias
  • Venous thromboembolism