Aneurysmal Subarachnoid Hemorrhage
Autor: | Charles C. Matouk, Jessica L. White |
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Rok vydání: | 2017 |
Předmět: |
medicine.medical_specialty
Endovascular coiling Neurological injury Subarachnoid hemorrhage Ruptured aneurysms business.industry medicine.medical_treatment medicine.disease nervous system diseases Hydrocephalus Surgery Aneurysm Cerebral vasospasm cardiovascular system medicine cardiovascular diseases business Cognitive impairment |
Zdroj: | Neurocritical Care for the Advanced Practice Clinician ISBN: 9783319486673 |
Popis: | Subarachnoid hemorrhage (SAH) accounts for approximately 10% of all strokes, the majority of which are caused by ruptured aneurysms. Aneurysmal SAH is a devastating disease with 12–15% mortality before hospital admission and overall mortality approaching 50%. Many of those surviving aneurysmal rupture remain functionally dependent and suffer long-term cognitive impairment. Early identification and securing of the ruptured vascular lesion through endovascular coiling, surgical clipping, and, most recently, flow diversion to prevent rebleeding are the requisite first step. Once the aneurysm is secured, attention is turned to prevention and treatment of additional neurological injury secondary to cerebral vasospasm, hydrocephalus, and seizures. |
Databáze: | OpenAIRE |
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