Spontaneous subarachnoid hemorrhage in the emergency department


Submitted: 11 February 2013
Accepted: 11 February 2013
Published: 19 July 2012
Abstract Views: 1630
PDF: 649
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Authors

  • Diego Garbossa Department of Neuroscience, Division of Neurosurgery, University of Turin, .
  • Marco Fontanella Department of Neuroscience, Division of Neurosurgery, University of Turin, .
  • Alessandro Ducati Department of Neuroscience, Division of Neurosurgery, University of Turin, Italy.
  • Chiara Fronda Department of Neuroscience, Division of Neurosurgery, University of Turin, Italy.
  • Pierpaolo Panciani Department of Neuroscience, Division of Neurosurgery, University of Turin, Italy.
  • Riccardo Fornaro Department of Neuroscience, Division of Neurosurgery, University of Turin, .
  • Fulvio Tartara Department of Neuroscience, Division of Neurosurgery, University of Turin, .
  • Emanuela Crobeddu Department of Neuroscience, Division of Neurosurgery, University of Turin, .
  • Nicola Marengo Department of Neuroscience, Division of Neurosurgery, University of Turin, .
Subarachnoid hemorrhage (SAH) is one of the major cause of mortality for stroke. The leading cause is the rupture of an intracrnial aneurym. Acute aneurysmal subarachnoid hemorrhage (SAH) is a complex multifaceted disorder that plays out over days to weeks. The development of aneurysms is mainly due to a hemodynamic stress. Considerableadvances have been made in endovascular techniques, diagnostic methods, and surgical and perioperative management guidelines. Rebleeding remains the most imminent danger until the aneurysm is excluded from cerebral circulation. The only effective prevention of rebleeding is repair the aneurysm; choosing the right way with surgical or an endovascular approach. Outcome for patients with SAH remains poor, with population-based mortality rates as high as 45% and significant morbidity among survivors. In this work we analyzed the diagnostic-therapeutic course of patients presenting SAH. We analyzed the types and the occurrence of complications. We present two cases report to better demonstrate that treatments for specific patients need to be individualized.

Garbossa, D., Fontanella, M., Ducati, A., Fronda, C., Panciani, P., Fornaro, R., Tartara, F., Crobeddu, E., & Marengo, N. (2012). Spontaneous subarachnoid hemorrhage in the emergency department. Emergency Care Journal, 8(2), 36–42. https://doi.org/10.4081/ecj.2012.2.36

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