Management of Patients Presenting with Acute Subdural Hematoma due to Ruptured Intracranial Aneurysm

Marbacher, Serge; Tomasi, Ottavio; Fandino, Javier (2012). Management of Patients Presenting with Acute Subdural Hematoma due to Ruptured Intracranial Aneurysm. International journal of vascular medicine, 2012, p. 753596. New York, N.Y.: Hindawi 10.1155/2012/753596

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Acute subdural hematoma is a rare presentation of ruptured aneurysms. The rarity of the disease makes it difficult to establish reliable clinical guidelines. Many patients present comatose and differential diagnosis is complicated due to aneurysm rupture results in or mimics traumatic brain injury. Fast decision-making is required to treat this life-threatening condition. Determining initial diagnostic studies, as well as making treatment decisions, can be complicated by rapid deterioration of the patient, and the mixture of symptoms due to the subarachnoid hemorrhage or mass effect of the hematoma. This paper reviews initial clinical and radiological findings, diagnostic approaches, treatment modalities, and outcome of patients presenting with aneurysmal subarachnoid hemorrhage complicated by acute subdural hematoma. Clinical strategies used by several authors over the past 20 years are discussed and summarized in a proposed treatment flowchart.

Item Type:

Journal Article (Original Article)

Division/Institute:

?? DCD5A442BAF9E17DE0405C82790C4DE2 ??

UniBE Contributor:

Marbacher, Serge

Subjects:

600 Technology > 610 Medicine & health

ISSN:

2090-2824

Publisher:

Hindawi

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:42

Last Modified:

04 Feb 2015 09:44

Publisher DOI:

10.1155/2012/753596

PubMed ID:

22500234

BORIS DOI:

10.7892/boris.17272

URI:

https://boris.unibe.ch/id/eprint/17272 (FactScience: 225023)

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