[Treatment of aneurysmal subarachnoid hemorrhage].
The incidence of subarachnoid hemorrhages is about 10.5/100,000 persons/year. Early obliteration of the aneurysmal sac is necessary to avoid rebleeding. The neurovascular staff meeting must decide the appropriate obliteration procedure for each patient. Intraoperative morbidity is 8% after endovascular coiling and 10% after microsurgical clipping. Endovascular coiling leads to complete obliteration of the aneurysm in 60% of patients and microsurgical clipping in 95%. Delayed ischemic deficits may be prevented by volemic expansion and calcium channel blockers. Hospitalization and general prophylaxis against deep venous thrombosis, pain and seizures are essential. Curative treatment is required against common complications such as intraparenchymatous hematoma, hydrocephalus, and delayed ischemic deficit.
Proust
François
F
Service de neurochirurgie, CHU de Rouen. francois.proust@chu-rouen.fr
Douvrin
Françoise
F
Gilles-Baray
Marie
M
Levêque
Sophie
S
D001794:Blood Pressure / Q000502:physiology; D001810:Blood Volume / Q000502:physiology; D002545:Brain Ischemia / Q000517:prevention & control; D002121:Calcium Channel Blockers / Q000627:therapeutic use; D004621:Embolization, Therapeutic; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications* / Q000601:surgery; D008866:Microsurgery; D012640:Seizures / Q000517:prevention & control; D013345:Subarachnoid Hemorrhage / Q000209:etiology / Q000601:surgery*; D020246:Venous Thrombosis / Q000517:prevention & control
D002121:Calcium Channel Blockers