[Current treatment concepts in patients in the acute stage of subarachnoid hemorrhage due to rupture of an intracranial aneurysm].
Subarachnoid hemorrhage (SAH) due to rupture of intracranial aneurysm constitutes almost 10% of all strokes and is a neurosurgical emergency along with head injury and intracerebral hemorrhage. Accurate diagnosis and surgical intervention without time loss are the key factors for successful treatment. Almost 40% of the patients with SAH already die or are in a moribund status at the first bleeding before hospitalization, the rest of the patients (60%) can be transferred to hospitals for further treatment. The factors determining prognosis of SAH involve a direct initial injury to the brain at the time of the rupture, a high rebleeding rate in the acute stage, development of cerebral vasospasms, and hydrocephalus due to stasis of the cerebrospinal fluid. Surgical intervention is intended to eliminate these factors as much as possible. Perioperative intensive medical care in combination with the surgical intervention is essential to achieve best outcome from the surgical treatment. The aim of this article is to make a short review over SAH and to give a current concept of therapy in the acute stage of SAH. The results of treatment of SAH in our institute are also presented and discussed.
Yonekawa
Y
Y
Neurochirurgische Klinik, Universitätsspital Zürich.
Marugg
R
R
Imhof
H J
HJ
Ogata
N
N
D002533:Cerebral Angiography; D003131:Combined Modality Therapy; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications*; D012422:Rupture, Spontaneous; D013129:Spinal Puncture; D013345:Subarachnoid Hemorrhage / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D014057:Tomography, X-Ray Computed; D017585:Ultrasonography, Doppler, Transcranial
Aktuelles Behandlungskonzept bei Patienten in der akuten Phase mit Subarachnoidalblutung infolge Ruptur eines intrakraniellen Aneurysmas.