Management of Patients Presenting with Acute Subdural Hematoma due to Ruptured Intracranial Aneurysm
Acute subdural hematoma is a rare presentation of ruptured aneurysms. The rarity of the disease makes it difficult to establish reliable clinical guidelines. Many patients present comatose and differential diagnosis is complicated due to aneurysm rupture results in or mimics traumatic brain injury....
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | International Journal of Vascular Medicine |
| Online Access: | http://dx.doi.org/10.1155/2012/753596 |
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| _version_ | 1841524593693556736 |
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| author | Serge Marbacher Ottavio Tomasi Javier Fandino |
| author_facet | Serge Marbacher Ottavio Tomasi Javier Fandino |
| author_sort | Serge Marbacher |
| collection | DOAJ |
| description | Acute subdural hematoma is a rare presentation of ruptured aneurysms. The rarity of the disease makes it difficult to establish reliable clinical guidelines. Many patients present comatose and differential diagnosis is complicated due to aneurysm rupture results in or mimics traumatic brain injury. Fast decision-making is required to treat this life-threatening condition. Determining initial diagnostic studies, as well as making treatment decisions, can be complicated by rapid deterioration of the patient, and the mixture of symptoms due to the subarachnoid hemorrhage or mass effect of the hematoma. This paper reviews initial clinical and radiological findings, diagnostic approaches, treatment modalities, and outcome of patients presenting with aneurysmal subarachnoid hemorrhage complicated by acute subdural hematoma. Clinical strategies used by several authors over the past 20 years are discussed and summarized in a proposed treatment flowchart. |
| format | Article |
| id | doaj-art-f40bed3384e9455da60ef7adafdd4e1a |
| institution | Kabale University |
| issn | 2090-2824 2090-2832 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Vascular Medicine |
| spelling | doaj-art-f40bed3384e9455da60ef7adafdd4e1a2025-02-03T05:48:00ZengWileyInternational Journal of Vascular Medicine2090-28242090-28322012-01-01201210.1155/2012/753596753596Management of Patients Presenting with Acute Subdural Hematoma due to Ruptured Intracranial AneurysmSerge Marbacher0Ottavio Tomasi1Javier Fandino2Department of Neurosurgery, Kantonsspital Aarau, 5001 Aarau, SwitzerlandDepartment of Neurosurgery, Kantonsspital Aarau, 5001 Aarau, SwitzerlandDepartment of Neurosurgery, Kantonsspital Aarau, 5001 Aarau, SwitzerlandAcute subdural hematoma is a rare presentation of ruptured aneurysms. The rarity of the disease makes it difficult to establish reliable clinical guidelines. Many patients present comatose and differential diagnosis is complicated due to aneurysm rupture results in or mimics traumatic brain injury. Fast decision-making is required to treat this life-threatening condition. Determining initial diagnostic studies, as well as making treatment decisions, can be complicated by rapid deterioration of the patient, and the mixture of symptoms due to the subarachnoid hemorrhage or mass effect of the hematoma. This paper reviews initial clinical and radiological findings, diagnostic approaches, treatment modalities, and outcome of patients presenting with aneurysmal subarachnoid hemorrhage complicated by acute subdural hematoma. Clinical strategies used by several authors over the past 20 years are discussed and summarized in a proposed treatment flowchart.http://dx.doi.org/10.1155/2012/753596 |
| spellingShingle | Serge Marbacher Ottavio Tomasi Javier Fandino Management of Patients Presenting with Acute Subdural Hematoma due to Ruptured Intracranial Aneurysm International Journal of Vascular Medicine |
| title | Management of Patients Presenting with Acute Subdural Hematoma due to Ruptured Intracranial Aneurysm |
| title_full | Management of Patients Presenting with Acute Subdural Hematoma due to Ruptured Intracranial Aneurysm |
| title_fullStr | Management of Patients Presenting with Acute Subdural Hematoma due to Ruptured Intracranial Aneurysm |
| title_full_unstemmed | Management of Patients Presenting with Acute Subdural Hematoma due to Ruptured Intracranial Aneurysm |
| title_short | Management of Patients Presenting with Acute Subdural Hematoma due to Ruptured Intracranial Aneurysm |
| title_sort | management of patients presenting with acute subdural hematoma due to ruptured intracranial aneurysm |
| url | http://dx.doi.org/10.1155/2012/753596 |
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