Management of Patients Presenting with Acute Subdural Hematoma due to Ruptured Intracranial Aneurysm
Publisher DOI
PubMed ID
22500234
Abstract
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.
Date Issued
2012
Publication Type
Article
Subject(s)
Language(s)
en
Author(s)
Tomasi, Ottavio | |
Fandino, Javier |
Additional Credits
Journal
International journal of vascular medicine
Publisher
Hindawi
ISSN
2090-2824
Access(Rights)
open.access