Prevention of Aneurysmal Subarachnoid Hemorrhage

  • J. M. Findlay
  • B. K. A. Weir
Chapter

Abstract

Approximately 1 to 20% of the general adult population harbor a saccular cerebral aneurysm, which is an acquired lesion resulting from prolonged hemodynamic stress at unsupported bifurcations and angles in major cerebral arteries traversing the subarachnoid space. A more liberal application of computerized tomography (CT) in the investigation of unusual headaches could facilitate recognition of minor hemorrhages that frequently precede major, devastating aneurysm ruptures. Rebleeding is a major cause of death and disability in survivors of aneurysm rupture, and the rate of rebleeding is highest on the first 2 days following the initial hemorrhage. If treated with bed rest alone, approximately 20% of patients will rebleed within 14 days, 30% in 30 days, 40% in 180 days, and thereafter patients will continue to rebleed at the rate of about 3% per year.

Keywords

Subarachnoid Hemorrhage Intracranial Aneurysm Cerebral Aneurysm Aneurysmal Subarachnoid Hemorrhage Aneurysm Surgery 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.
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© Springer Science+Business Media New York 1991

Authors and Affiliations

  • J. M. Findlay
  • B. K. A. Weir

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