Aneurysmal Subarachnoid Hemorrhage: Unanswered Questions

Alejandro Rabinstein, Giuseppe Lanzino

Research output: Contribution to journalReview article

4 Scopus citations

Abstract

Optimizing outcomes after aneurysmal subarachnoid hemorrhage remains a challenge for neurosurgeons and neurointensivists alike. Although we have learned a lot about the pathophysiology of this disease, many clinical questions are still unanswered. In this review, the authors discuss some of these questions, including the current diagnostic value of lumbar puncture in patients with negative computed tomography scans, the treatment value of blood pressure reduction and antifibrinolytics for prevention of early rebleeding, the indication for antiseizure medications, the optimal management of hydrocephalus and intracranial pressure, the role of clipping, and the options for diagnosis and treatment of delayed cerebral ischemia.

Original languageEnglish (US)
Pages (from-to)255-262
Number of pages8
JournalNeurosurgery Clinics of North America
Volume29
Issue number2
DOIs
StatePublished - Apr 1 2018

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Keywords

  • Aneurysm
  • Delayed cerebral ischemia
  • Hydrocephalus
  • Subarachnoid hemorrhage
  • Vasospasm

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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