[Spontaneous subarachnoid hemorrhage]

H Steinmetz1

  • 1Zentrum der Neurologie und Neurochirurgie, Klinikum der J.W. Goethe-Universität, Schleusenweg 2-16, 60528 Frankfurt am Main, Deutschland. h.steinmetz@em.uni-frankfurt.de

Der Nervenarzt
|February 22, 2012
PubMed

The diagnosis, management and long-term implications of non-traumatic subarachnoid hemorrhage continue to be a multidisciplinary challenge. Often, the patients present to emergency or primary care physicians not particularly experienced in the differential diagnosis of headache. In most cases of a proven hemorrhage (aneurysm rupture in 85%), further treatment will require the discussion between experienced neurosurgeons and neuroradiologists whether to "clip or coil". Thus, subarachnoid hemorrhage is the first cerebrovascular disorder where a multidisciplinary approach has become the evidence-based standard of care. Patients with this condition are relatively young, and the survivors have a good life expectancy. Their neurologic, cognitive and psychiatric morbidity, risk of recurrent bleeding and elevated risk of other vascular diseases remain underestimated tasks for long-term care.

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