[Treatment of acute subarachnoidal hemorrhage]

Acute subarachnoid hemorrhage is influenced by cerebral edema, acute obstructive extraventricular hydrocephalus with high or normal intracranial pressure and vascular spasms. Computertomography, angiography and continuous monitoring of cerebral spinal fluid pressure are helpful tools in preventing early worsening of the clinical condition. Indications of monitoring the cerebral spinal fluid pressure depends on clinical grading. Therapy of vascular spasms remains an unsolved problem.