1998, Number 6
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Med Crit 1998; 12 (6)
Subarachnoid hemorrhage
Tejeda RME, Gayosso CO, Ibarra CM, Alvarado RO, Brugada MR
Language: Spanish
References: 47
Page: 219-226
PDF size: 71.22 Kb.
ABSTRACT
The subarachnoid hemorrhage (SAH) secondary to intracraneal aneurysms is a disease with high morbidity and mortality. Computed tomography is the usual initial diagnostic test and angiography defines the localization of aneurysms. Vasospasm and rebleeding are the most important complications. Critical care management include hypertensive, hypervolemic and hemodilution therapy and the use of nimodipine. The surgical treatment in the early and late modality is the most common procedure for the resolution of aneurysms. Recently, the endovascular therapy with soft metallic coils by electrothrombosis obliteration has been used as an alternative treatment.
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