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№ 100Neurology13 min read

Therapy and prognosis of subarachnoid hemorrhage

1. Big picture

Subarachnoid hemorrhage (SAH) is a life-threatening emergency. The immediate therapeutic goal is not only to treat the headache, but to prevent rebleeding, secure the aneurysm, prevent vasospasm and delayed cerebral ischemia, treat hydrocephalus, and support vital functions in an intensive care/neurosurgical center.

The key exam sentence:

Every suspected aneurysmal SAH patient must be urgently transferred to a hospital with neuroradiology and neurosurgical/endovascular facilities, because the ruptured aneurysm must be localized and treated early.

The most important treatment steps are:

  1. Stabilize airway, breathing, circulation.

  2. Urgent CT/CTA/DSA dia

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