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Prevention of Aneurysmal Subarachnoid Hemorrhage

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Prevention of Stroke

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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.

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Authors
  1. J. M. Findlay
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  2. B. K. A. Weir
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Editors and Affiliations

  1. Department of Neurology, Sunnybrook Health Science Centre, University of Toronto, Toronto, Ontario, M4N 3M5, Canada

    John W. Norris M.D.

  2. Department of Clinical Neurological Sciences, University of Western Ontario, London, Ontario, N6A 5A5, Canada

    Vladimir C. Hachinski M.D.

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Findlay, J.M., Weir, B.K.A. (1991). Prevention of Aneurysmal Subarachnoid Hemorrhage. In: Norris, J.W., Hachinski, V.C. (eds) Prevention of Stroke. Springer, New York, NY. https://doi.org/10.1007/978-1-4757-4226-8_20

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  • DOI: https://doi.org/10.1007/978-1-4757-4226-8_20

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