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Treatment of aneurysmal subarachnoid hemorrhage

Authors
Robert J Singer, MD
Christopher S Ogilvy, MD
Guy Rordorf, MD
Section Editor
Jose Biller, MD, FACP, FAAN, FAHA
Deputy Editor
Janet L Wilterdink, MD

INTRODUCTION

Aneurysmal subarachnoid hemorrhage (SAH) is often a devastating event. Approximately 10 percent of patients with aneurysmal SAH die prior to reaching the hospital, 25 percent die within 24 hours of SAH onset, and about 45 percent die within 30 days; only one-third of patients will have a good outcome after treatment [1-3].

The most important predictive factors for acute prognosis after SAH include [4-6]:

Level of consciousness and neurologic grade on admission

Patient age (inverse correlation)

Amount of blood on initial head computed tomography (CT) scan (inverse correlation)

                           

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Literature review current through: Nov 2016. | This topic last updated: Tue Oct 07 00:00:00 GMT+00:00 2014.
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