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Aneurysmal Subarachnoid Hemorrhage

  • Frédéric Clarençon
  • Nader-Antoine Sourour
  • Vincent Degos
  • Aurélien Nouet
  • Federico Di Maria
  • Eimad Shotar
  • Joseph Gabrieli
  • Lise Le Jean
  • Jacques Chiras
Living reference work entry

Abstract

Intracranial aneurysms are a non-exceptional disease affecting 1–3 % of the general population. The incidence of aneurysmal subarachnoid hemorrhage (SAH) is about 1/10,000/year. Aneurysmal SAH is a devastating disease leading to death approximately in 50 % of the cases and to neurological sequels in about 25 % of the cases. Management of aneurysmal SAH consists in early exclusion of the aneurysm’s sac either by endovascular means or by microsurgical clipping. Intensive care management is of tremendous importance to treat SAH-related complications like hydrocephalus and to prevent delayed complications such as vasospasm. Current perspectives for intracranial aneurysms management consist in a better selection of the unruptured aneurysms to treat, in order to propose a preventive treatment of exclusion before they bleed.

Keywords

Subarachnoid hemorrhage Intracranial aneurysm Rupture Coiling Clipping Hydrocephalus Arterial vasospasm 

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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Frédéric Clarençon
    • 1
  • Nader-Antoine Sourour
    • 1
  • Vincent Degos
    • 2
  • Aurélien Nouet
    • 3
  • Federico Di Maria
    • 1
  • Eimad Shotar
    • 1
  • Joseph Gabrieli
    • 1
  • Lise Le Jean
    • 2
  • Jacques Chiras
    • 1
  1. 1.Department of Interventional NeuroradiologyPitié-Salpêtrière Hospital, Paris VI UniversityParisFrance
  2. 2.Department of Anesthesia and Critical Care, Neuro-intensive Care UnitPitié- Salpêtrière HospitalParisFrance
  3. 3.Department of NeurosurgeryPitié-Salpêtrière HospitalParisFrance

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