Zusammenfassung
Als Folge der höheren Lebenserwartung und der veränderten Bevölkerungsstruktur nimmt die Anzahl an alten Patienten mit Subarachnoidalblutungen zu. Das es sich um eine Erkrankung mit oft schweren Verläufen und Folgen handelt, sind nicht nur die allgemeinen Überlegungen zur Therapie der Blutungsfolgen und Behandlung der Blutungsquelle in die Therapieentscheidungen zu inkludieren, sondern auch spezielle Aspekte der Behandung alter Menschen, wie Vorerkrankungen, neurologischer Zustand vor der Blutung, Mobilität und selbständige Lebensführung. Dieses Kapitel gibt Einblicke in die Besonderheiten bei alten Patienten mit Subarachnoidalblutungen im Hinblick auf diagnostische und therapeutische Überlegungen. Obwohl das Outcome alter Patienten nach Subarachnoidalblutung schlechter ist als bei jüngeren Patienten, ist eine gute Erholung nicht ausgeschlossen. Die höhere Nachblutungsrate erfordert jedoch eine rasche Entscheidung, ob und welche Art der Therapie eingeleitet wird. Wenn die Entscheidung für eine Therapie getroffen wird, ist eine schnelle Behandlung der Blutungsquelle erforderlich sowie ein entsprechendes intensivmedizinisches Management und eine frühe Mobilisierung.
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Westermaier, T. (2021). Subarachnoidalblutung bei älteren Patienten. In: Uhl, E., Schöller, K. (eds) Neurochirurgie bei älteren Patienten. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-60354-3_12
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