By Gabriel J. E. Rinkel, Paut Greebe
This pocket-sized booklet is a quick-reference sensible advisor for physicians who take care of sufferers with subarachnoid hemorrhage or intracranial aneurysms outdoors the medical institution. It describes in brief the epidemiology of subarachnoid hemorrhage, the early acceptance and scientific path, and in additional intensity the aftercare, residual signs and deficits. The diagnosis and administration within the long-term are mentioned intimately. It additionally offers info at the counselling and therapy of sufferers with unruptured intracranial aneurysms.
Subarachnoid Hemorrhage in scientific Practice is aimed toward common practitioners and kin physicians and also will be informative for different experts reminiscent of rehabilitation physicians, nursing domestic physicians, and physicians operating for medical insurance businesses. it might probably even be of curiosity to sufferers, kinfolk, and paramedics.
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1007/978-3-319-17840-0_4, © Springer International Publishing Switzerland 2015 47 48 Chapter 4. In Hospital Course Diagnostic Procedures and Initial Management The first-line procedure in hospital to diagnose or rule out a subarachnoid hemorrhage is a CT scan. The sensitivity of CT scanning is high in the initial days after the hemorrhage but gradually diminishes over time. If CT is negative, a lumber puncture is needed to definitively rule out a subarachnoid hemorrhage. Until recently, this was also true for patients who had the CT within the initial first hours after onset of the headache.
2008;131(10):2662–5. 28. Bor AS, Rinkel GJE, van Norden J, Wermer MJ. Long-term, serial screening for intracranial aneurysms in individuals with a family history of aneurysmal subarachnoid haemorrhage: a cohort study. Lancet Neurol. 2014;13(4):385–92. 29. Bor ASE, Koffijberg H, Wermer MJ, Rinkel GJE. Optimal screening strategy for familial intracranial aneurysms: a costeffectiveness analysis. Neurology. 2010;74(21):1671–9. References 43 30. Korja M, Silventoinen K, McCarron P, Zdravkovic S, Skytthe A, Haapanen A, et al.
Aneurysms and SAH in General Practice 67. Koffijberg H, Buskens E, Granath F, Adami J, Ekbom A, Rinkel GJE, et al. Subarachnoid haemorrhage in Sweden 1987–2002: regional incidence and case fatality rates. J Neurol Neurosurg Psychiatry. 2008;79(3):294–9. 68. Nieuwkamp DJ, Rinkel GJE, Silva R, Greebe P, Schokking DA, Ferro JM. Subarachnoid haemorrhage in patients older than 75 years: clinical course, treatment and outcome. J Neurol Neurosurg Psychiatry. 2006;77(8):933–7. 69. Koffijberg H, Rinkel GJE, Buskens E.
