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Complications and Critical Care Management of Aneurysmal Subarachnoid Hemorrhage

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Management of Subarachnoid Hemorrhage

Abstract

Aneurysmal subarachnoid hemorrhage (aSAH) is devastating cerebrovascular insult which is associated with high morbidity and mortality. Although the management strategies improved significantly in the last 30 years, the 30-day mortality and before admission death remain high, around 35% and 15%, respectively. The outcome of aSAH patients depends on the severity of the initial insult and potential neurological and non-neurological complications. Neurological complications include re-bleeding, delayed cerebral ischemia, hydrocephalus, brain edema, and seizures, while non-neurological complications are cardiac complications, electrolyte disturbances, fever, hyperglycemia, anemia, and deep venous thrombosis. In order to offer optimal care, clinicians must grasp the pathophysiology, recognition, risk factors, and therapeutic options of these complications. This chapter discusses different workup modalities, investigations, and both pharmacological and interventional management and the strength of medical evidence behind each (de Oliveira Manoel et al., Crit Care 20:21, 2016).

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References

  1. de Oliveira Manoel AL, Goffi A, Marotta TR, Schweizer TA, Abrahamson S, Macdonald RL. The critical care management of poor-grade subarachnoid haemorrhage. Crit Care. 2016;20:21.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Diringer MN, Bleck TP, Claude Hemphill J 3rd, Menon D, Shutter L, Vespa P, et al. Critical care management of patients following aneurysmal subarachnoid hemorrhage: recommendations from the Neurocritical Care Society’s Multidisciplinary Consensus Conference. Neurocrit Care. 2011;15(2):211–40.

    Article  PubMed  Google Scholar 

  3. Guo LM, Zhou HY, Xu JW, Wang Y, Qiu YM, Jiang JY. Risk factors related to aneurysmal rebleeding. World Neurosurg. 2011;76(3–4):292–8; discussion 53–4.

    Article  PubMed  Google Scholar 

  4. Beck J, Raabe A, Szelenyi A, Berkefeld J, Gerlach R, Setzer M, et al. Sentinel headache and the risk of rebleeding after aneurysmal subarachnoid hemorrhage. Stroke. 2006;37(11):2733–7.

    Article  PubMed  Google Scholar 

  5. Steiner T, Juvela S, Unterberg A, Jung C, Forsting M, Rinkel G, et al. European Stroke Organization guidelines for the management of intracranial aneurysms and subarachnoid haemorrhage. Cerebrovasc Dis. 2013;35(2):93–112.

    Article  PubMed  Google Scholar 

  6. Lanzino G, Kassell NF, Germanson TP, Kongable GL, Truskowski LL, Torner JC, et al. Age and outcome after aneurysmal subarachnoid hemorrhage: why do older patients fare worse? J Neurosurg. 1996;85(3):410–8.

    Article  CAS  PubMed  Google Scholar 

  7. Lim YC, Kim CH, Kim YB, Joo JY, Shin YS, Chung J. Incidence and risk factors for rebleeding during cerebral angiography for ruptured intracranial aneurysms. Yonsei Med J. 2015;56(2):403–9.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Sampei T, Yasui N, Mizuno M, Nakajima S, Ishikawa T, Hadeishi H, et al. Contrast medium extravasation during cerebral angiography for ruptured intracranial aneurysm—clinical analysis of 26 cases. Neurol Med Chir (Tokyo). 1990;30(13):1011–5.

    Article  CAS  Google Scholar 

  9. van Donkelaar CE, Bakker NA, Veeger NJ, Uyttenboogaart M, Metzemaekers JD, Luijckx GJ, et al. Predictive factors for rebleeding after aneurysmal subarachnoid hemorrhage: rebleeding aneurysmal subarachnoid hemorrhage study. Stroke. 2015;46(8):2100–6.

    Article  PubMed  Google Scholar 

  10. Connolly ES Jr, Rabinstein AA, Carhuapoma JR, Derdeyn CP, Dion J, Higashida RT, et al. Guidelines for the management of aneurysmal subarachnoid hemorrhage: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2012;43(6):1711–37.

    Article  PubMed  Google Scholar 

  11. Naidech AM, Janjua N, Kreiter KT, Ostapkovich ND, Fitzsimmons BF, Parra A, et al. Predictors and impact of aneurysm rebleeding after subarachnoid hemorrhage. Arch Neurol. 2005;62(3):410–6.

    Article  PubMed  Google Scholar 

  12. Priebe HJ. Aneurysmal subarachnoid haemorrhage and the anaesthetist. Br J Anaesth. 2007;99(1):102–18.

    Article  CAS  PubMed  Google Scholar 

  13. Dippel DW, van Breda EJ, van Gemert HM, van der Worp HB, Meijer RJ, Kappelle LJ, et al. Effect of paracetamol (acetaminophen) on body temperature in acute ischemic stroke: a double-blind, randomized phase II clinical trial. Stroke. 2001;32(7):1607–12.

    Article  CAS  PubMed  Google Scholar 

  14. Phillips TJ, Dowling RJ, Yan B, Laidlaw JD, Mitchell PJ. Does treatment of ruptured intracranial aneurysms within 24 hours improve clinical outcome? Stroke. 2011;42(7):1936–45.

    Article  PubMed  Google Scholar 

  15. Starke RM, Kim GH, Fernandez A, Komotar RJ, Hickman ZL, Otten ML, et al. Impact of a protocol for acute antifibrinolytic therapy on aneurysm rebleeding after subarachnoid hemorrhage. Stroke. 2008;39(9):2617–21.

    Article  CAS  PubMed  Google Scholar 

  16. Vergouwen MD, Vermeulen M, van Gijn J, Rinkel GJ, Wijdicks EF, Muizelaar JP, et al. Definition of delayed cerebral ischemia after aneurysmal subarachnoid hemorrhage as an outcome event in clinical trials and observational studies: proposal of a multidisciplinary research group. Stroke. 2010;41(10):2391–5.

    Article  PubMed  Google Scholar 

  17. Inagawa T, Yahara K, Ohbayashi N. Risk factors associated with cerebral vasospasm following aneurysmal subarachnoid hemorrhage. Neurol Med Chir (Tokyo). 2014;54(6):465–73.

    Article  Google Scholar 

  18. Kale SP, Edgell RC, Alshekhlee A, Borhani Haghighi A, Sweeny J, Felton J, et al. Age-associated vasospasm in aneurysmal subarachnoid hemorrhage. J Stroke Cerebrovasc Dis. 2013;22(1):22–7.

    Article  PubMed  Google Scholar 

  19. Kongable GL, Lanzino G, Germanson TP, Truskowski LL, Alves WM, Torner JC, et al. Gender-related differences in aneurysmal subarachnoid hemorrhage. J Neurosurg. 1996;84(1):43–8.

    Article  CAS  PubMed  Google Scholar 

  20. Dumont T, Rughani A, Silver J, Tranmer BI. Diabetes mellitus increases risk of vasospasm following aneurysmal subarachnoid hemorrhage independent of glycemic control. Neurocrit Care. 2009;11(2):183–9.

    Article  PubMed  Google Scholar 

  21. Hop JW, Rinkel GJ, Algra A, van Gijn J. Initial loss of consciousness and risk of delayed cerebral ischemia after aneurysmal subarachnoid hemorrhage. Stroke. 1999;30(11):2268–71.

    Article  CAS  PubMed  Google Scholar 

  22. van den Bergh WM, Algra A, van der Sprenkel JW, Tulleken CA, Rinkel GJ. Hypomagnesemia after aneurysmal subarachnoid hemorrhage. Neurosurgery. 2003;52(2):276–81; discussion 81–2.

    Article  PubMed  Google Scholar 

  23. Wintermark M, Ko NU, Smith WS, Liu S, Higashida RT, Dillon WP. Vasospasm after subarachnoid hemorrhage: utility of perfusion CT and CT angiography on diagnosis and management. AJNR Am J Neuroradiol. 2006;27(1):26–34.

    CAS  PubMed  PubMed Central  Google Scholar 

  24. Samagh N, Bhagat H, Jangra K. Monitoring cerebral vasospasm: how much can we rely on transcranial Doppler. J Anaesthesiol Clin Pharmacol. 2019;35(1):12–8.

    Article  PubMed  PubMed Central  Google Scholar 

  25. Vergouwen MD, Vermeulen M, de Haan RJ, Levi M, Roos YB. Dihydropyridine calcium antagonists increase fibrinolytic activity: a systematic review. J Cereb Blood Flow Metab. 2007;27(7):1293–308.

    Article  CAS  PubMed  Google Scholar 

  26. de Oliveira Manoel AL, Goffi A, Zampieri FG, Turkel-Parrella D, Duggal A, Marotta TR, et al. The critical care management of spontaneous intracranial hemorrhage: a contemporary review. Crit Care. 2016;20:272.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Wijdicks EF, Vermeulen M, Hijdra A, van Gijn J. Hyponatremia and cerebral infarction in patients with ruptured intracranial aneurysms: is fluid restriction harmful? Ann Neurol. 1985;17(2):137–40.

    Article  CAS  PubMed  Google Scholar 

  28. Francoeur CL, Mayer SA. Management of delayed cerebral ischemia after subarachnoid hemorrhage. Crit Care. 2016;20(1):277.

    Article  PubMed  PubMed Central  Google Scholar 

  29. Reynolds MR, Buckley RT, Indrakanti SS, Turkmani AH, Oh G, Crobeddu E, et al. The safety of vasopressor-induced hypertension in subarachnoid hemorrhage patients with coexisting unruptured, unprotected intracranial aneurysms. J Neurosurg. 2015;123(4):862–71.

    Article  CAS  PubMed  Google Scholar 

  30. Albanese E, Russo A, Quiroga M, Willis RN Jr, Mericle RA, Ulm AJ. Ultrahigh-dose intraarterial infusion of verapamil through an indwelling microcatheter for medically refractory severe vasospasm: initial experience. Clinical article. J Neurosurg. 2010;113(4):913–22.

    Article  CAS  PubMed  Google Scholar 

  31. van Gijn J, Hijdra A, Wijdicks EF, Vermeulen M, van Crevel H. Acute hydrocephalus after aneurysmal subarachnoid hemorrhage. J Neurosurg. 1985;63(3):355–62.

    Google Scholar 

  32. Rekate HL. The definition and classification of hydrocephalus: a personal recommendation to stimulate debate. Cerebrospinal Fluid Res. 2008;5:2.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Vale FL, Bradley EL, Fisher WS 3rd. The relationship of subarachnoid hemorrhage and the need for postoperative shunting. J Neurosurg. 1997;86(3):462–6.

    Article  CAS  PubMed  Google Scholar 

  34. Graff-Radford NR, Torner J, Adams HP Jr, Kassell NF. Factors associated with hydrocephalus after subarachnoid hemorrhage. A report of the Cooperative Aneurysm Study. Arch Neurol. 1989;46(7):744–52.

    Article  CAS  PubMed  Google Scholar 

  35. van Gijn J, Hijdra A, Wijdicks EF, Vermeulen M, van Crevel H. Acute hydrocephalus after aneurysmal subarachnoid hemorrhage. J Neurosurg. 1985;63(3):355–62.

    Article  PubMed  Google Scholar 

  36. Kartal MG, Algin O. Evaluation of hydrocephalus and other cerebrospinal fluid disorders with MRI: an update. Insights Imaging. 2014;5(4):531–41.

    Article  PubMed  PubMed Central  Google Scholar 

  37. O'Kelly CJ, Kulkarni AV, Austin PC, Urbach D, Wallace MC. Shunt-dependent hydrocephalus after aneurysmal subarachnoid hemorrhage: incidence, predictors, and revision rates. Clinical article. J Neurosurg. 2009;111(5):1029–35.

    Article  PubMed  Google Scholar 

  38. de Oliveira JG, Beck J, Setzer M, Gerlach R, Vatter H, Seifert V, et al. Risk of shunt-dependent hydrocephalus after occlusion of ruptured intracranial aneurysms by surgical clipping or endovascular coiling: a single-institution series and meta-analysis. Neurosurgery. 2007;61(5):924–33; discussion 33–4.

    Article  PubMed  Google Scholar 

  39. Akinduro OO, Vivas-Buitrago TG, Haranhalli N, Ganaha S, Mbabuike N, Turnbull MT, et al. Predictors of ventriculoperitoneal shunting following subarachnoid hemorrhage treated with external ventricular drainage. Neurocrit Care. 2020;32(3):755–64.

    Article  PubMed  Google Scholar 

  40. Chung DY, Mayer SA, Rordorf GA. External ventricular drains after subarachnoid hemorrhage: is less more? Neurocrit Care. 2018;28(2):157–61.

    Article  PubMed  PubMed Central  Google Scholar 

  41. Fried HI, Nathan BR, Rowe AS, Zabramski JM, Andaluz N, Bhimraj A, et al. The insertion and management of external ventricular drains: an evidence-based consensus statement: a statement for healthcare professionals from the Neurocritical Care Society. Neurocrit Care. 2016;24(1):61–81.

    Article  PubMed  Google Scholar 

  42. Huttner HB, Nagel S, Tognoni E, Kohrmann M, Juttler E, Orakcioglu B, et al. Intracerebral hemorrhage with severe ventricular involvement: lumbar drainage for communicating hydrocephalus. Stroke. 2007;38(1):183–7.

    Article  PubMed  Google Scholar 

  43. Claassen J, Peery S, Kreiter KT, Hirsch LJ, Du EY, Connolly ES, et al. Predictors and clinical impact of epilepsy after subarachnoid hemorrhage. Neurology. 2003;60(2):208–14.

    Article  CAS  PubMed  Google Scholar 

  44. Kvam DA, Loftus CM, Copeland B, Quest DO. Seizures during the immediate postoperative period. Neurosurgery. 1983;12(1):14–7.

    Article  CAS  PubMed  Google Scholar 

  45. Scott RB, Eccles F, Molyneux AJ, Kerr RS, Rothwell PM, Carpenter K. Improved cognitive outcomes with endovascular coiling of ruptured intracranial aneurysms: neuropsychological outcomes from the International Subarachnoid Aneurysm Trial (ISAT). Stroke. 2010;41(8):1743–7.

    Article  PubMed  Google Scholar 

  46. Miguel Bertelli Ramos MJT, Figueiredo EG. Seizures and epilepsy following subarachnoid hemorrhage: a review on incidence, risk factors, outcome and treatment. Arquivos Brasileiros de Neurocirurgia. 2018;37(3):206–12.

    Article  Google Scholar 

  47. Al-Khindi T, Macdonald RL, Schweizer TA. Cognitive and functional outcome after aneurysmal subarachnoid hemorrhage. Stroke. 2010;41(8):e519–36.

    Article  PubMed  Google Scholar 

  48. Marigold R, Gunther A, Tiwari D, Kwan J. Antiepileptic drugs for the primary and secondary prevention of seizures after subarachnoid haemorrhage. Cochrane Database Syst Rev. 2013;(6):CD008710.

    Google Scholar 

  49. Lehmann L, Bendel S, Uehlinger DE, Takala J, Schafer M, Reinert M, et al. Randomized, double-blind trial of the effect of fluid composition on electrolyte, acid-base, and fluid homeostasis in patients early after subarachnoid hemorrhage. Neurocrit Care. 2013;18(1):5–12.

    Article  CAS  PubMed  Google Scholar 

  50. Rosengart AJ, Huo JD, Tolentino J, Novakovic RL, Frank JI, Goldenberg FD, et al. Outcome in patients with subarachnoid hemorrhage treated with antiepileptic drugs. J Neurosurg. 2007;107(2):253–60.

    Article  PubMed  Google Scholar 

  51. Wartenberg KE, Schmidt JM, Claassen J, Temes RE, Frontera JA, Ostapkovich N, et al. Impact of medical complications on outcome after subarachnoid hemorrhage. Crit Care Med. 2006;34(3):617–23; quiz 24.

    Article  PubMed  Google Scholar 

  52. Behrouz R, Sullebarger JT, Malek AR. Cardiac manifestations of subarachnoid hemorrhage. Expert Rev Cardiovasc Ther. 2011;9(3):303–7.

    Article  PubMed  Google Scholar 

  53. Chen S, Li Q, Wu H, Krafft PR, Wang Z, Zhang JH. The harmful effects of subarachnoid hemorrhage on extracerebral organs. Biomed Res Int. 2014;2014:858496.

    PubMed  PubMed Central  Google Scholar 

  54. Zaroff JG, Rordorf GA, Newell JB, Ogilvy CS, Levinson JR. Cardiac outcome in patients with subarachnoid hemorrhage and electrocardiographic abnormalities. Neurosurgery. 1999;44(1):34–9; discussion 9–40.

    Article  CAS  PubMed  Google Scholar 

  55. Sakr YL, Lim N, Amaral AC, Ghosn I, Carvalho FB, Renard M, et al. Relation of ECG changes to neurological outcome in patients with aneurysmal subarachnoid hemorrhage. Int J Cardiol. 2004;96(3):369–73.

    Article  PubMed  Google Scholar 

  56. Wartenberg KE, Mayer SA. Medical complications after subarachnoid hemorrhage: new strategies for prevention and management. Curr Opin Crit Care. 2006;12(2):78–84.

    Article  PubMed  Google Scholar 

  57. Chen Z, Venkat P, Seyfried D, Chopp M, Yan T, Chen J. Brain-heart interaction: cardiac complications after stroke. Circ Res. 2017;121(4):451–68.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  58. Maimaitili A, Maimaitili M, Rexidan A, Lu J, Ajimu K, Cheng X, et al. Pituitary hormone level changes and hypxonatremia in aneurysmal subarachnoid hemorrhage. Exp Ther Med. 2013;5(6):1657–62.

    Article  PubMed  PubMed Central  Google Scholar 

  59. Marupudi NI, Mittal S. Diagnosis and management of hyponatremia in patients with aneurysmal subarachnoid hemorrhage. J Clin Med. 2015;4(4):756–67.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  60. Rahman M, Friedman WA. Hyponatremia in neurosurgical patients: clinical guidelines development. Neurosurgery. 2009;65(5):925–35; discussion 35–6.

    Article  PubMed  Google Scholar 

  61. Benvenga S. What is the pathogenesis of hyponatremia after subarachnoid hemorrhage? Nat Clin Pract Endocrinol Metab. 2006;2(11):608–9.

    Article  PubMed  Google Scholar 

  62. Kao L, Al-Lawati Z, Vavao J, Steinberg GK, Katznelson L. Prevalence and clinical demographics of cerebral salt wasting in patients with aneurysmal subarachnoid hemorrhage. Pituitary. 2009;12(4):347–51.

    Article  PubMed  Google Scholar 

  63. Maesaka JK, Imbriano L, Mattana J, Gallagher D, Bade N, Sharif S. Differentiating SIADH from cerebral/renal salt wasting: failure of the volume approach and need for a new approach to hyponatremia. J Clin Med. 2014;3(4):1373–85.

    Article  PubMed  PubMed Central  Google Scholar 

  64. Mount DB. The brain in hyponatremia: both culprit and victim. Semin Nephrol. 2009;29(3):196–215.

    Article  CAS  PubMed  Google Scholar 

  65. Corona G, Giuliani C, Parenti G, Norello D, Verbalis JG, Forti G, et al. Moderate hyponatremia is associated with increased risk of mortality: evidence from a meta-analysis. PLoS One. 2013;8(12):e80451.

    Article  PubMed  PubMed Central  Google Scholar 

  66. Ahmed AE, Ganaw AMT, Mohamed AO, Khair B. Aneurysmal subarachnoid hemorrhage. ICU book. Intechopen; 2017. p. 73–99.

    Google Scholar 

  67. Klose M, Brennum J, Poulsgaard L, Kosteljanetz M, Wagner A, Feldt-Rasmussen U. Hypopituitarism is uncommon after aneurysmal subarachnoid haemorrhage. Clin Endocrinol. 2010;73(1):95–101.

    Google Scholar 

  68. Parenti G, Cecchi PC, Ragghianti B, Schwarz A, Ammannati F, Mennonna P, et al. Evaluation of the anterior pituitary function in the acute phase after spontaneous subarachnoid hemorrhage. J Endocrinol Investig. 2011;34(5):361–5.

    Article  CAS  Google Scholar 

  69. Wright WL, Asbury WH, Gilmore JL, Samuels OB. Conivaptan for hyponatremia in the neurocritical care unit. Neurocrit Care. 2009;11(1):6–13.

    Article  CAS  PubMed  Google Scholar 

  70. Weant KA, Sasaki-Adams D, Dziedzic K, Ewend M. Acute relative adrenal insufficiency after aneurysmal subarachnoid hemorrhage. Neurosurgery. 2008;63(4):645–9; discussion 9–50.

    Article  PubMed  Google Scholar 

  71. Pasternak JJ, McGregor DG, Schroeder DR, Lanier WL, Shi Q, Hindman BJ, et al. Hyperglycemia in patients undergoing cerebral aneurysm surgery: its association with long-term gross neurologic and neuropsychological function. Mayo Clin Proc. 2008;83(4):406–17.

    Article  CAS  PubMed  Google Scholar 

  72. Schlenk F, Graetz D, Nagel A, Schmidt M, Sarrafzadeh AS. Insulin-related decrease in cerebral glucose despite normoglycemia in aneurysmal subarachnoid hemorrhage. Crit Care. 2008;12(1):R9.

    Article  PubMed  PubMed Central  Google Scholar 

  73. Naidech AM, Levasseur K, Liebling S, Garg RK, Shapiro M, Ault ML, et al. Moderate hypoglycemia is associated with vasospasm, cerebral infarction, and 3-month disability after subarachnoid hemorrhage. Neurocrit Care. 2010;12(2):181–7.

    Article  PubMed  Google Scholar 

  74. Naidech AM, Bendok BR, Bernstein RA, Alberts MJ, Batjer HH, Watts CM, et al. Fever burden and functional recovery after subarachnoid hemorrhage. Neurosurgery. 2008;63(2):212–7; discussion 7–8.

    Article  PubMed  Google Scholar 

  75. Oddo M, Frangos S, Milby A, Chen I, Maloney-Wilensky E, Murtrie EM, et al. Induced normothermia attenuates cerebral metabolic distress in patients with aneurysmal subarachnoid hemorrhage and refractory fever. Stroke. 2009;40(5):1913–6.

    Article  PubMed  Google Scholar 

  76. Aiyagari V, Diringer MN. Fever control and its impact on outcomes: what is the evidence? J Neurol Sci. 2007;261(1–2):39–46.

    Article  PubMed  Google Scholar 

  77. Dhar R, Zazulia AR, Videen TO, Zipfel GJ, Derdeyn CP, Diringer MN. Red blood cell transfusion increases cerebral oxygen delivery in anemic patients with subarachnoid hemorrhage. Stroke. 2009;40(9):3039–44.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  78. Naidech AM, Drescher J, Ault ML, Shaibani A, Batjer HH, Alberts MJ. Higher hemoglobin is associated with less cerebral infarction, poor outcome, and death after subarachnoid hemorrhage. Neurosurgery. 2006;59(4):775–9; discussion 9–80.

    Article  PubMed  Google Scholar 

  79. Levine J, Kofke A, Cen L, Chen Z, Faerber J, Elliott JP, et al. Red blood cell transfusion is associated with infection and extracerebral complications after subarachnoid hemorrhage. Neurosurgery. 2010;66(2):312–8; discussion 8.

    Article  PubMed  Google Scholar 

  80. Mack WJ, Ducruet AF, Hickman ZL, Kalyvas JT, Cleveland JR, Mocco J, et al. Doppler ultrasonography screening of poor-grade subarachnoid hemorrhage patients increases the diagnosis of deep venous thrombosis. Neurol Res. 2008;30(9):889–92.

    Article  PubMed  Google Scholar 

  81. Lacut K, Bressollette L, Le Gal G, Etienne E, De Tinteniac A, Renault A, et al. Prevention of venous thrombosis in patients with acute intracerebral hemorrhage. Neurology. 2005;65(6):865–9.

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Anesthesia, Perioperative Medicine and Critical Care Department, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar

    Adel E. Ahmed Ganaw, Sohel Mohamed Gamal Ahmed & Moad Ehfeda

  2. Neurosurgery Department, Hamad General Hospital, Hamad Medical Corporation, Doha, Qatar

    Sirajeddin Belkhair

  3. Neurosurgery Department, Weill Cornell Medical College, Ar-Rayyan, Qatar

    Sirajeddin Belkhair

  4. Neurosurgery Department, Michigan State University, East Lansing, MI, USA

    Sirajeddin Belkhair

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  1. Adel E. Ahmed Ganaw
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  1. Anesthesia, Perioperative Medicine and Critical Care Department, Hamad General Hospital Hamad Medical Corporation, Doha, Qatar

    Adel E. Ahmed Ganaw

  2. Department of Anesthesia Perioperative Medicine and Critical Care, Surgical Intensive Care Unit Hamad Medical Corporation, Doha, Qatar

    Nissar Shaikh

  3. Faculty of Medicine, Tanta University, Tanta, Egypt

    Nabil A. Shallik

  4. Department of Anesthesiology, University of Muenster, Muenster, Germany

    Marco Abraham E. Marcus

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Ganaw, A.E.A., Ahmed, S.M.G., Ehfeda, M., Belkhair, S. (2022). Complications and Critical Care Management of Aneurysmal Subarachnoid Hemorrhage. In: Ganaw, A.E.A., Shaikh, N., Shallik, N.A., Marcus, M.A.E. (eds) Management of Subarachnoid Hemorrhage. Springer, Cham. https://doi.org/10.1007/978-3-030-81333-8_10

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