Question:medium
Which of the following grading methods is used to evaluate the prognosis or outcome after subarachnoid hemorrhage?
Which of the following grading methods is used to evaluate the prognosis or outcome after subarachnoid hemorrhage?
Show Hint
Think of the SAH specific clinical grade that runs I to V.
Updated On: Jun 24, 2026
- Glasgow coma scale
- Hunt and Hess scale
- Glasgow-Blatchford bleeding score
- Intracerebral hemorrhage score
Show Solution
The Correct Option is B
Solution and Explanation
Start with the disease. A subarachnoid hemorrhage is sudden bleeding under the arachnoid layer, classically from an aneurysm rupture, and the patient presents with a thunderclap headache. To guide treatment timing and to tell families what to expect, neurosurgeons grade the severity on admission.
The scale built for exactly this purpose is the Hunt and Hess grading, which runs from Grade I to Grade V. Grade I patients are alert with only a slight headache and do well. Grade V patients are comatose with extensor posturing and have very high mortality. Because the grade tracks directly with survival and surgical risk, it answers the question about prognosis.
Eliminating the rest is straightforward. The Glasgow coma scale is a generic consciousness score and is not SAH specific. The Glasgow-Blatchford score is a gastrointestinal bleeding risk tool. The ICH score forecasts death in deep brain (parenchymal) hemorrhage, a different bleed entirely.
So the SAH specific prognostic grade is Hunt and Hess.
\[\boxed{\text{Hunt and Hess scale}}\]
The scale built for exactly this purpose is the Hunt and Hess grading, which runs from Grade I to Grade V. Grade I patients are alert with only a slight headache and do well. Grade V patients are comatose with extensor posturing and have very high mortality. Because the grade tracks directly with survival and surgical risk, it answers the question about prognosis.
Eliminating the rest is straightforward. The Glasgow coma scale is a generic consciousness score and is not SAH specific. The Glasgow-Blatchford score is a gastrointestinal bleeding risk tool. The ICH score forecasts death in deep brain (parenchymal) hemorrhage, a different bleed entirely.
So the SAH specific prognostic grade is Hunt and Hess.
\[\boxed{\text{Hunt and Hess scale}}\]
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