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Aneurysmal Subarachnoid Hemorrhage

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Neurocritical Care for the Advanced Practice Clinician

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Abstract

Subarachnoid hemorrhage (SAH) accounts for approximately 10% of all strokes, the majority of which are caused by ruptured aneurysms. Aneurysmal SAH is a devastating disease with 12–15% mortality before hospital admission and overall mortality approaching 50%. Many of those surviving aneurysmal rupture remain functionally dependent and suffer long-term cognitive impairment. Early identification and securing of the ruptured vascular lesion through endovascular coiling, surgical clipping, and, most recently, flow diversion to prevent rebleeding are the requisite first step. Once the aneurysm is secured, attention is turned to prevention and treatment of additional neurological injury secondary to cerebral vasospasm, hydrocephalus, and seizures.

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Authors and Affiliations

  1. Yale University, New Haven, CT, USA

    Jessica L. White PA-C & Charles Matouk MD

Authors
  1. Jessica L. White PA-C
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  2. Charles Matouk MD
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Correspondence to Charles Matouk MD .

Editor information

Editors and Affiliations

  1. Neuroscience Intensive Care Unit, Yale New Haven Hospital, New Haven, Connecticut, USA

    Jessica L. White

  2. Neurosciences Intensive Care Unit, Yale School of Medicine, New Haven, Connecticut, USA

    Kevin N. Sheth

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White, J.L., Matouk, C. (2018). Aneurysmal Subarachnoid Hemorrhage. In: White, J., Sheth, K. (eds) Neurocritical Care for the Advanced Practice Clinician. Springer, Cham. https://doi.org/10.1007/978-3-319-48669-7_4

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  • DOI: https://doi.org/10.1007/978-3-319-48669-7_4

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-48667-3

  • Online ISBN: 978-3-319-48669-7

  • eBook Packages: MedicineMedicine (R0)

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