Spontaneous Subarachnoid Hemorrhage: updated clinical and therapeutic approach


Despite advances in the treatment of subarachnoid hemorrhage, morbimortality rates remain elevated. Patients who have a sudden onset headache followed or not by altered consciousness, require a high degree of suspicion for the appropriate diagnosis in the emergency room. Those with lighter symptoms, presence of headache without other neurological alterations are the most susceptible to diagnostic error. All should be evaluated quickly, receiving specialized neurointensive care and ear
Spontaneous ly treatment. The best results are usually obtained from the individualized discussion of each case, given the clash between surgical and endovascular treatment. Finally, it is safe to prevent, recognize and treat systemic delayed cerebral ischemia and vasospasm. The present study aimed to review and discuss, in a practical way, the approach of spontaneous subarachnoid hemorrhages.

Keywords: Subarachnoid hemorrhage. Intracranial subarachnoid hemorrhages. Intracranial aneurysm. Physiopathology. Clinical decision rules. Neurologic surgical procedure. Interventional radiology

Renato Serquiz e Pinheiro;
Yanny Cinara T. Ernesto;
Amália Cinthia Meneses Rêgo;
Lucidio Clebeson de Oliveira;
Luciana Cristina Borges Fernandes;
Dinalva Brito de Queiroz;
Fausto Pierdoná Guzen and Irami Araújo-Filho

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