Management of the ruptured aneurysm.
Rupture of cerebral aneurysms is a complex and devastating pathophysiologic event. The successful management of aneurysm rupture requires a dedicated multidisciplinary team. This article reviews pathophysiology; clinical grading that can be used to predict outcome and guide therapy; factors that may affect outcome such as rebleeding, poor clinical grade, intracerebral hemorrhage, intraventricular hemorrhage, and acute hydrocephalus; preoperative care and assessment; pharmacological therapy; anesthetic, surgical, and endovascular considerations; and postoperative care following aneurysm rupture.
Le Roux
P D
PD
Department of Neurosurgery, New York University, New York, USA.
Winn
H R
HR
D017542:Aneurysm, Ruptured / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D001925:Brain Damage, Chronic / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D003657:Decision Making; D006801:Humans; D006849:Hydrocephalus / Q000209:etiology / Q000601:surgery; D002532:Intracranial Aneurysm / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D008991:Monitoring, Physiologic; D019635:Neurosurgical Procedures; D011182:Postoperative Care / Q000379:methods; D011300:Preoperative Care / Q000379:methods; D011379:Prognosis; D055502:Secondary Prevention; D012720:Severity of Illness Index; D013345:Subarachnoid Hemorrhage / Q000150:complications / Q000175:diagnosis / Q000503:physiopathology / Q000628:therapy*; D014656:Vascular Surgical Procedures