Open AccessSpontaneous subarachnoid hemorrhage in the emergency department
Author(s) -
Diego Garbossa,
Marco Maria Fontanella,
Alessandro Ducati,
Chiara Fronda,
Pier Paolo Panciani,
Riccardo Fornaro,
Fulvio Tartara,
Emanuela Crobeddu,
Nicola Marengo
Publication year - 2012
Publication title -
emergency care journal
Language(s) - English
Resource type - Journals
eISSN - 2282-2054
pISSN - 1826-9826
DOI - 10.4081/ecj.2012.2.36
Subject(s) - medicine , subarachnoid hemorrhage , perioperative , aneurysm , stroke (engine) , subarachnoid haemorrhage , population , emergency department , surgery , intensive care medicine , mechanical engineering , environmental health , psychiatry , engineering
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