Subarachnoidalblutungen

  • James F. Toole
  • Aneel N. Patel

Zusammenfassung

Zu Subarachnoidalblutungen kommt es, wenn Blut in den Subarachnoidalraum sik-kert, sei es Blut aus einer rupturierten Arterie oder Vene (primäre Subarachnoidalblutung) oder aus einer intrazerebralen Blutung, die sich durch das Parenchym bis an die Oberfläche des Gehirns oder in die Ventrikel ausbreitet (sekundäre Subarachnoidalblutung), Solche Hämorrhagien werden als spontan bezeichnet, wenn keine äußere zusätzliche Ursache ersichtlich ist, und als traumatisch, wenn sie nach einer Gewalteinwirkung auftreten. Da Patienten mit posttraumatischer Hämorrhagie am besten durch einen Neurochirurgen behandelt werden, wird die Subarachnoidalblutung traumatischer Genese -obwohl sie am häufigsten vorkommt — in diesem Buch nicht besprochen.

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Literatur

Allgemeines

  1. Fields, W. S., Sahs, A. L. (eds.): Intracranial Aneurysma and Subarachnoid Hemorrhage. Springfield, Ill.: Charles C. Thomas 1965Google Scholar

Ätiologie und Pathogenese

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Klinische Besonderheiten

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Untersuchung des Patienten

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Differentialdiagnose

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Laborbefunde

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Liquoruntersuchung

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Laborbefunde Röntgenuntersuchungen

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Laborbefunde Elektroenzephalographie

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Laborbefunde Elektrokardiographie

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Krankheitsverlauf

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TherapieKonservative Therapie

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Therapie Chirurgische Therapie

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Zusätzliche Angaben

  1. Keller, A. Z.: Hypertension, age and residence in the survival with subarachnoid hemorrhage. Am. J. Epidemiol. 91, 139 (1970)PubMedGoogle Scholar
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Copyright information

© Springer-Verlag Berlin Heidelberg 1980

Authors and Affiliations

  • James F. Toole
    • 1
  • Aneel N. Patel
    • 2
  1. 1.Bowman Gray School of MedicineWake Forest UniversityWinston-SalemUSA
  2. 2.Albany Medical College of Union UniversityAlbanyUSA

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