Related Experiment Video
Updated: Aug 18, 2026

Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
Published on: August 11, 2015
Modern management of aneurysmal subarachnoid hemorrhage
1Indiana University Medical Center, Indianapolis.
Abstract:
This article reviews the modern approach and advances in the management of aneurysmal subarachnoid hemorrhage. Early diagnosis along with aggressive medical and surgical clipping appears to reduce morbidity and mortality. Computed tomography scan is greater than 95% sensitive for diagnosis. Aneurysm clipping within 48 hours has been performed successfully in 44 patients at the Indiana University Medical Center in Indianapolis. Early aneurysm clipping allows a more aggressive approach to managing the 20% to 30% incidence of delayed ischemic vasospasm. These aggressive treatments include transcranial Doppler analysis, volume expansion, hypertensive therapy, hemodilution and calcium channel blockers. Additional treatment strategies are being investigated to prevent vasospasm.
Related Concept Videos
Aortic Regurgitation III: Medical Management
Acute Coronary Syndrome IV: Interprofessional Care
Aneurysm III: Interprofessional Care
Aneurysm IV: Nursing Management
Hemorrhagic Stroke l: Introduction
Hemorrhagic Stroke ll: Pathophysiology

