Document Detail


Subarachnoid haemorrhage: diagnosis and treatment.
MedLine Citation:
PMID:  8836937     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In this review the diagnosis and management of the acute phase of subarachnoid haemorrhage (SAH) are discussed. CT is a sensitive method of predicting a ruptured aneurysm in patients with SAH. If angiography does not reveal an aneurysm, the bleeding pattern on CT may predict if a patient is still at risk of rebleeding. Spectophotometric analysis of the CSF is a reliable method of distinguishing between traumatic tap and SAH and is a sensitive method of detecting SAH even 4 weeks after the bleeding. Many kinds of treatment can be considered in SAH, but few have been tested in well-conducted clinical trials. Based on the study methodology, different levels of evidence of treatment effectiveness can be distinguished. The effectiveness of nimodipine in reducing poor outcome has the most evidence in favour of it.
Authors:
M Vermeulen
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of neurology     Volume:  243     ISSN:  0340-5354     ISO Abbreviation:  J. Neurol.     Publication Date:  1996 Jul 
Date Detail:
Created Date:  1996-12-20     Completed Date:  1996-12-20     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0423161     Medline TA:  J Neurol     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  496-501     Citation Subset:  IM    
Affiliation:
Department of Neurology, Academic Medical Centre, University of Amsterdam, The Netherlands.
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MeSH Terms
Descriptor/Qualifier:
Humans
Intracranial Aneurysm / pathology*
Subarachnoid Hemorrhage / pathology*,  surgery*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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