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Haemostasis in Cerebrospinal Fluid

Basic Concept of Antifibrinolytic Therapy of Subarachnoid Haemorrhage

  • Peter Hindersin
  • Richard Heidrich
  • Siegfried Endler

Part of the Acta Neurochirurgica book series (NEUROCHIRURGICA, volume 34)

Table of contents

  1. Front Matter
    Pages I-IX
  2. Peter Hindersin, Richard Heidrich, Siegfried Endler
    Pages 1-4
  3. Peter Hindersin, Richard Heidrich, Siegfried Endler
    Pages 5-6
  4. Peter Hindersin, Richard Heidrich, Siegfried Endler
    Pages 7-11
  5. Peter Hindersin, Richard Heidrich, Siegfried Endler
    Pages 12-24
  6. Peter Hindersin, Richard Heidrich, Siegfried Endler
    Pages 25-33
  7. Peter Hindersin, Richard Heidrich, Siegfried Endler
    Pages 34-38
  8. Peter Hindersin, Richard Heidrich, Siegfried Endler
    Pages 39-44
  9. Peter Hindersin, Richard Heidrich, Siegfried Endler
    Pages 45-55
  10. Peter Hindersin, Richard Heidrich, Siegfried Endler
    Pages 56-59
  11. Back Matter
    Pages 60-77

About this book

Introduction

Almost a hundred years passed from the time of the first description of an intracranial aneurysm by Morgagni in 1761 to the year 1859, when Sir William Withey Gull arrived at the conclusion that haemorrhage in the subarachnoid space is caused by ruptured aneurysms. The introduction of lumbar puncture by Quincke 1891 and cerebral angiography by Moniz 1927 made it possible to establish the diagnosis of haemorrhage and its source. In recent decades the problems of treatment have come into prominence, first of all because of the inadequacy of conservative methods of treatment in most of the cases, and from surgical experience and its limitations which became apparent before very long. Because of the erratic development of neurosurgery and vascular surgery, above all, since the technique of microsurgery has been used, the entire removal of the source of haemorrhage has become a possibility, even though there were still quite different views taken regarding the most convenient time for surgical intervention, apart from the prevailing local conditions 134, 143, 144,261. In an up-to-date plan of treatment of subarachnoid haem­ orrhage (SAH) conservative measures are appropriate for bridging the pre-operative period, and must be considered the only solution in those cases in which the source of haemorrhage cannot be found. As far as the effectiveness of such conservative therapy is con­ cerned, the rate of re bleeding and the mortality provide sufficient comment.

Keywords

Hämostase aneurysm microsurgery neurosurgery surgery

Authors and affiliations

  • Peter Hindersin
    • 1
  • Richard Heidrich
    • 1
  • Siegfried Endler
    • 1
  1. 1.Clinic of Neurology and Psychiatry (Head: Prof. Dr. Dr. R. Heidrich)Medical Academy of ErfurtGerman Democratic Republic

Bibliographic information

  • DOI https://doi.org/10.1007/978-3-7091-4047-5
  • Copyright Information Springer-Verlag Vienna 1984
  • Publisher Name Springer, Vienna
  • eBook Packages Springer Book Archive
  • Print ISBN 978-3-211-81839-8
  • Online ISBN 978-3-7091-4047-5
  • Series Print ISSN 0065-1419
  • Buy this book on publisher's site