Seizures 6-18% Re-bleeding<72 hours5-10% HydrocephalusDay 1-320-30% Vasospasm & Delayed Cerebral IschaemiaDay 4-1470% Systemic Conditions May indicate a re-bleed and should be treated aggressively Perform an EEG in patients with neurological deterioration or...
Neurological Vasospasm and cerebral ischaemiaHydrocephalusRe-bleedingSeizuresCerebral oedema and raised ICPFocal neurology due to haemorrhage Systemic Metabolic FeverHyperglycemiaDisorders of sodium balance (50-60%):Syndrome of inappropriate antidiuretic hormone...
The largest trial comparing surgical and endovascular management of ruptured aneurysms is the ISAT trial: RCT: ISATMolyneux et alLancet (2002)View Paper Intervention Endovascular coiling vs. surgical clipping for acute ruptured intracranial aneurysm Population 2143...
Should be an MDT decision made by experienced surgeons and radiologists Decision based on: Characteristics of the patient: Surgical approach favoured in younger age and in presence of space occupying ICH Radiological approach favoured in older age, poor grade SAH and...
Securing of the aneurysm should be performed as early as is feasible in the majority of patients to reduce rebleeding The aim should be to intervene within 72 hours of first symptoms ESO Guidelines...
