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Neurosurgery pp 69–72Cite as

Subarachnoid Haemorrhage WFNS V: MCA Aneurysm with Sylvian ICH

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Abstract

M51, RH, police officer, lives with wife, pmh of HTN, presents with sudden severe h/a and rapid deterioration to GCS E1 V1 M4, R pupil fixed and dilated

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Abbreviations

ASDH:

Acute sub-dural haematoma

BRAT:

The Barrow Ruptured Aneurysm Trial

CARAT:

Cerebral Aneurysm Rerupture After Treatment Study

CTA:

Computed tomography angiogram

CTH:

Computed tomography head

h/a:

Headache

HTN:

Hypertension

HTN BG ICH:

Hypertensive basal ganglia intra-cerebral haematoma

ICH:

Intra-cerebral haematoma

ICP:

Intra-cranial pressure

ICU:

Intensive care unit

ISAT:

International Subarachnoid Aneurysm Trial

I+V+S:

Intubated + ventilated + sedated

MCA:

Middle cerebral artery

MLS:

Midline shift

SAH:

Sub-arachnoid haemorrhage

Evidence

ISAT I

  • Molyneux AJ, Kerr RS, Stratton I, et al. International Subarachnoid Aneurysm Trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomized trial. Lancet. 2002;360:1267–74.

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  • Molyneux AJ, Kerr RS, Yu LM, et al. International Subarachnoid Aneurysm Trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomized comparison of effects on survival, dependency, seizures, rebleeding, subgroups and aneurysm occlusion. Lancet. 2005;366:809–17.

    Article  Google Scholar 

  • Molyneux AJ, Kerr RS, Birks J, et al. ISAT Collaborators. Risk of recurrent subarachnoid haemorrhage, death, or dependence and standardized mortality ratios after clipping or coiling of an intracranial aneurysm in the International Subarachnoid Aneurysm Trial (ISAT): long-term follow-up. Lancet Neurol. 2009;8:427–433.

    Google Scholar 

CARAT

  • Johnston SC, Dowd CF, Higashida RT, et al. CARAT Investigators. Predictors of rehemorrhage after treatment of ruptured intracranial aneurysms: the Cerebral Aneurysm Rerupture After Treatment (CARAT) study. Stroke. 2008;39:120–125.

    Article  Google Scholar 

BRAT

  • McDougall CG, Spetzler RF, Zabramski JM, et al. The Barrow Ruptured Aneurysm Trial. J Neurosurg. 2012;116:135–44.

    Article  Google Scholar 

  • Spetzler RF, McDougall CG, Albuquerque FC, et al. The Barrow Ruptured Aneurysm Trial: 3-year results. J Neurosurg. 2013;119:146–57.

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. King’s College Hospital, London, UK

    Christos M. Tolias, Anastasios Giamouriadis & Prajwal Ghimire

  2. St George’s Hospital, London, UK

    Florence Rosie Avila Hogg

Authors
  1. Christos M. Tolias
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  2. Anastasios Giamouriadis
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  3. Florence Rosie Avila Hogg
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  4. Prajwal Ghimire
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Tolias, C.M., Giamouriadis, A., Hogg, F.R.A., Ghimire, P. (2019). Subarachnoid Haemorrhage WFNS V: MCA Aneurysm with Sylvian ICH. In: Neurosurgery. Springer, Cham. https://doi.org/10.1007/978-3-319-98234-2_18

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  • DOI: https://doi.org/10.1007/978-3-319-98234-2_18

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-98233-5

  • Online ISBN: 978-3-319-98234-2

  • eBook Packages: MedicineMedicine (R0)

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