Intracranial aneurysm and subarachnoid haemorrhage (SAH)

EBM Guidelines
Feb 27, 2021 • Latest change Aug 17, 2020
Antti Lindgren, Timo Koivisto and Juha E. Jääskeläinen

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Extract

  • Subarachnoid haemorrhage (SAH) should be suspected however slight the symptoms, and the diagnosis confirmed with an urgent CT scan.
  • The patient should be transferred without delay to an appropriate hospital for neurosurgical treatment, relevant intensive care and cerebral angiography.
  • A ruptured intracranial aneurysm must be closed (microsurgical clipping or an endovascular approach) during the acute phase to prevent rebleeding.
  • Patients with SAH often have sequelae in the form of neurological, psychiatric and psychosocial problems.

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Aneurysm, Aneurysm, Ruptured, Angiography, Cerebral Hemorrhage, Cerebrospinal Fluid, Hydrocephalus, I60, I60.9, I61, I67.1, Intracranial Aneurysm, Intracranial Hemorrhages, Magnetic Resonance Angiography, Mass Screening, Neurology, Neurosurgery, Ophthalmoscopy, Q28.8, Spinal Puncture, Subarachnoid Hemorrhage, Tomography, X-Ray Computed, Vasospasm, Intracranial, aneurysm surgery, bloodstained liquor, nonbleeding aneurysm, resorption hydrocephalus