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Traumatic Subarachnoid Hemorrhage

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Management of Subarachnoid Hemorrhage

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Abstract

Traumatic Subarachnoid Hemorrhage (tSAH) is considered a negative predictor of outcome for victims of Traumatic brain injury (TBI). The mortality from traumatic brain injury doubles if associated with subarachnoid hemorrhage. Incidence of tSAH has been reported between 2.9 and 53% after TBI. Different mechanisms are postulated for the pathophysiology of tSAH. The deleterious effects of tSAH are attributed to various circulatory effects ranging from hyperemia to vasospasm, hydrocephalus, pseudoaneurysm formation, and hydrocephalus which pose unique challenges for successful management. tSAH is diagnosed by routine radiological investigations like Computerized Tomography (CT), Magnetic Resonance Imaging (MRI). There are different classifications for the prognostication of tSAH, and with higher grades prognosis worsens. Apart from routine neuro-critical care principles, patients with tSAH may need management of the specific complications associated with it, including dyselectrolytemia, hydrocephalus, vasospasm, and pseudoaneurysm rupture. Despite these measures, outcome of TBI patients with tSAH remains poor.

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Author information

Authors and Affiliations

  1. Surgical ICU, HMC, Doha, Qatar

    Abdulgafoor M. Tharayil

  2. Trauma ICU, HMC, Doha, Qatar

    Talat Saeed Chughtai

  3. Department of Neurosurgery, HMC, Doha, Qatar

    Basil Younis & Abdulnasser Alyafei

  4. TICU, HMC, Doha, Qatar

    Vishwajit Verma

Authors
  1. Abdulgafoor M. Tharayil
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  2. Talat Saeed Chughtai
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  3. Basil Younis
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  4. Abdulnasser Alyafei
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  5. Vishwajit Verma
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Corresponding author

Correspondence to Abdulgafoor M. Tharayil .

Editor information

Editors and Affiliations

  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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Tharayil, A.M., Chughtai, T.S., Younis, B., Alyafei, A., Verma, V. (2022). Traumatic 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_12

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  • DOI: https://doi.org/10.1007/978-3-030-81333-8_12

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-81332-1

  • Online ISBN: 978-3-030-81333-8

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