Aneurysmal Subarachnoid Hemorrhage - 23/04/21

Doi : 10.1016/j.ncl.2021.02.006

David Y. Chung, MD, PhD ^a,^b,^c,^⁎ , Mohamad Abdalkader, MD ^d,^e,^f, Thanh N. Nguyen, MD ^d,^e,^f
^a Division of Neurocritical Care, Department of Neurology, Boston Medical Center, Boston, MA, USA
^b Division of Neurocritical Care, Department of Neurology, Harvard Medical School, Massachusetts General Hospital, Boston, MA, USA
^c Neurovascular Research Unit, Department of Radiology, Harvard Medical School, Massachusetts General Hospital, Boston, MA, USA
^d Department of Neurology, Boston University School of Medicine, Boston Medical Center, Boston, MA, USA
^e Department of Neurosurgery, Boston University School of Medicine, Boston Medical Center, Boston, MA, USA
^f Department of Radiology, Boston University School of Medicine, Boston Medical Center, Boston, MA, USA

^∗Corresponding author. 72 East Concord Street, Boston, MA 02118.72 East Concord StreetBostonMA02118

Resumen

Aneurysmal subarachnoid hemorrhage is a neurologic emergency that requires immediate patient stabilization and prompt diagnosis and treatment. Early measures should focus on principles of advanced cardiovascular life support. The aneurysm should be evaluated and treated in a comprehensive stroke center by a multidisciplinary team capable of endovascular and, operative approaches. Once the aneurysm is secured, the patient is best managed by a dedicated neurocritical care service to prevent and manage complications, including a syndrome of delayed neurologic decline. The goal of such specialized care is to prevent secondary injury, reduce length of stay, and improve outcomes for survivors of the disease.

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Keywords : Intracranial aneurysm, Subarachnoid hemorrhage, Delayed cerebral ischemia, Vasospasm, Stroke