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Double Direct Injection of Blood into the Cisterna Magna as a Model of Subarachnoid Hemorrhage
Published on: August 30, 2020
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Systemic Complications Following Aneurysmal Subarachnoid Hemorrhage
1Department of Neurology, Loyola University Chicago, Stritch School of Medicine, 2160 S. First Avenue, Maywood, IL, 60153, USA.
Current Neurology and Neuroscience Reports
|February 8, 2017
Summary
Systemic complications after aneurysmal subarachnoid hemorrhage, driven by sympathetic activation, significantly impact patient outcomes. This review updates the diagnosis, pathophysiology, and management of these frequent neurocritical complications.
Area of Science:
- Neuroscience
- Critical Care Medicine
- Cardiology
Background:
- Aneurysmal subarachnoid hemorrhage (aSAH) frequently triggers systemic complications.
- Sympathetic nervous system (SNS) overactivation is a primary driver of these complications.
- These systemic issues significantly influence patient prognosis and outcomes.
Purpose of the Study:
- To provide an updated review on the diagnosis, pathophysiology, and management of systemic complications following aSAH.
- To highlight complications more prevalent in aSAH and neurocritical care settings.
- To focus on key complications including neurogenic pulmonary edema, cardiac abnormalities, and electrolyte imbalances.
Main Methods:
- Literature review focusing on recent advancements in understanding aSAH complications.
- Synthesis of current diagnostic criteria and therapeutic strategies.
- Emphasis on evidence-based management protocols for neurocritical care patients.
Main Results:
- Detailed discussion of neurogenic pulmonary edema, electrocardiographic (ECG) changes, troponin elevation, and neurogenic stunned myocardium.
- Exploration of neurogenic hyponatremia and anemia as significant complications.
- Identification of diagnostic challenges and therapeutic targets for these conditions.
Conclusions:
- Systemic complications are integral to the management of aSAH patients.
- Early recognition and prompt management of these complications are crucial for improving patient outcomes.
- Further research is warranted to refine diagnostic and therapeutic approaches in neurocritical care.
Keywords:
AnemiaAneurysmal subarachnoid hemorrhageCerebral salt wastingNeurogenic pulmonary edemaNeurogenic stunned myocardiumSIADHSystemic complicationsMore Related Videos
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