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Timing and Grading: Problems in Poor-Grade Subarachnoid Hemorrhage

  • R. Laumer
  • R. Naraghi
  • C. Nimsky
  • R. Fahlbusch
  • U. Machera
Conference paper
Part of the Advances in Neurosurgery book series (NEURO, volume 20)

Abstract

The management of aneurysmal subarachnoid hemorrhage (SAH) is mainly based on timing and grading. Meanwhile these problems seem to be solved for Hunt and Hess grades I, II, and in. The early operation within 48 h after SAH is the most adequate therapy to prevent rebleeding before onset of vasospasm.

Keywords

Subarachnoid Hemorrhage Glasgow Coma Scale Intracranial Aneurysm Glasgow Outcome Scale Grade Versus 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

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    Bailes JE, Spetzler RF, Hadley MN, Baldwin HZ (1990) Management morbidity and mortality of poor-grade aneurysm patients. J Neurosurg 72:559–566PubMedCrossRefGoogle Scholar
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    Drake CG (1988) Report of World Federation of Neurological Surgeons Committee on a Universal Subarachnoid Hemorrhage Grading Scale. J Neurosurg 68:985–986Google Scholar
  3. 3.
    Hunt WE, Hess RM (1968) Surgical risk as related to time of intervention in the repair of intracranial aneurysms. J Neurosurg 28:14–20PubMedCrossRefGoogle Scholar
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    Jennett B, Bond M (1975) Assessment of outcome after severe brain damage. A practical scale. Lancet I:480–484CrossRefGoogle Scholar
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    Lindsay KW, Teasdale G, Knill-Jones R et al. (1982) Observer variability in grading patients with SAH. J Neurosurg 56:628–633PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1992

Authors and Affiliations

  • R. Laumer
  • R. Naraghi
  • C. Nimsky
    • 1
  • R. Fahlbusch
  • U. Machera
    • 1
  1. 1.Neurochirurgische Klinik der Universität Erlangen-NürnbergErlangenGermany

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