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Neurosurgical Management of Aneurysmal Subarachnoid Haemorrhage pp 7–26Cite as

Intracranial Aneurysms and Subarachnoid Hemorrhage Management of the Poor Grade Patient

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Part of the book series: Acta Neurochirurgica Supplements ((NEUROCHIRURGICA,volume 72))

Abstract

Between 20 and 30% of patients who suffer cerebral aneurysm rupture are in poor clinical grade when first evaluated. Management of these patients is controversial and challenging but can be successful with an aggressive proactive approach that begins with in the field resuscitation and continues through rehabilitation. In this article we review the epidemiology, pathology and pathophysiology, clinical features, evaluation, surgical and endovascular management, critical care, cost, and outcome prediction of patients in poor clinical grade after subarachnoid hemorrhage.

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Authors and Affiliations

  1. Department of Neurosurgery, New York University, New York, USA

    P. D. Le Roux

  2. Department of Neurosurgery, Harborview Medical Center, University of Washington, Seattle, USA

    H. R. Winn

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  1. Department of Neurosurgery, Karolinska Hospital, Stockholm, Sweden

    Iver A. Langmoen M.D., Ph.D.

  2. Department of Neurosurgery, Rikshospitalet, The National Hospital, Oslo, Norway

    Tryggve Lundar

  3. Department of Neurological Surgery, Harborview Medical Center, Seattle, USA

    Rune Aaslid Ph.D.

  4. Department of Neurosurgery, Klinikum Großhadern, Munich, Germany

    Hans-J. Reulen M.D.

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Le Roux, P.D., Winn, H.R. (1999). Intracranial Aneurysms and Subarachnoid Hemorrhage Management of the Poor Grade Patient. In: Langmoen, I.A., Lundar, T., Aaslid, R., Reulen, HJ. (eds) Neurosurgical Management of Aneurysmal Subarachnoid Haemorrhage. Acta Neurochirurgica Supplements, vol 72. Springer, Vienna. https://doi.org/10.1007/978-3-7091-6377-1_2

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