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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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Management of aneurysmal subarachnoid hemorrhage
1Department of Neurosurgery, University Hospital Mannheim, University of Heidelberg, Mannheim, Germany.
Handbook of Clinical Neurology
|February 12, 2017
Summary
Spontaneous subarachnoid hemorrhage (SAH) is a serious condition, often caused by brain aneurysms. Early treatment and specialized care improve survival rates for SAH patients.
Area of Science:
- Neurology
- Neurosurgery
- Critical Care Medicine
Background:
- Spontaneous subarachnoid hemorrhage (SAH) affects approximately 9/100,000 individuals globally each year, with a mean age of onset at 55.
- Intracranial aneurysms are the primary cause, accounting for 85% of SAH cases.
- SAH survivors frequently experience long-term cognitive deficits, mood disorders, and executive dysfunction, hindering their return to premorbid functioning.
Purpose of the Study:
- To review the current understanding and management of spontaneous subarachnoid hemorrhage.
- To highlight key interventions proven to improve outcomes in SAH patients.
- To discuss factors contributing to recent improvements in SAH survival rates.
Main Methods:
- Review of existing literature on spontaneous subarachnoid hemorrhage.
- Analysis of established and emerging treatment modalities for intracranial aneurysms.
- Evaluation of the role of neurocritical care and multidisciplinary management.
Main Results:
- Timely aneurysm repair, preferably via endovascular coiling over neurosurgical clipping, is a critical intervention.
- Administration of nimodipine is a proven method to improve outcomes.
- Neurologic intensive care units and multidisciplinary teams likely optimize patient management.
Conclusions:
- Improved diagnostic capabilities and prompt aneurysm repair are crucial for better SAH outcomes.
- Nimodipine administration and advanced neurointensive care support are vital components of SAH management.
- Recent advancements in diagnosis, treatment, and care have contributed to improved survival rates for subarachnoid hemorrhage.
Keywords:
angiographic vasospasmcerebral aneurysmdelayed cerebral ischemiastrokesubarachnoid hemorrhageMore Related Videos
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