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Neurointervention 2009;4(2):67-73.
The Clinical Aspects of Subarachnoid Hemorrhage.
Hun Park, Kwan Woong Park, Sun Chul Hwang, Bum Tae Kim
Department of Neurosurgery, Soonchunhyang University Bucheon Hospital, Korea. bumtkim@sch.ac.kr
Abstract
Subarachnoid hemorrhage (SAH) is less frequent than ischemic stroke, but has a high public health relevance because it can affect young and middle-age adults, has considerable mortality and morbidity, it is treatable and preventable. Despite stable incidence, the mortality of SAH has decreased in the last two decades due to better neurosurgical techniques and neurocritical care and to advances in neuroendovascular treatment. Sudden headache is the cardinal feature. Rebleeding is the most imminent danger; a first aim is therefore occlusion of the aneurysms. Complications such as vasospasm/delayed cerebral ischemia, hydrocephalus, increased intracranial pressure, and seizures must be considered in the management of SAH. The authors reviewed the recent advances in the clinical aspects of SAH and grading system of the available evidence is included.
Key Words: Subarachnoid hemorrhage (SAH); Rebleeding; Vasospasm; Hydrocephalus; Grading system
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