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Acta Neurochir. Suppl. · Jan 1999
ReviewIntracranial aneurysms and subarachnoid hemorrhage management of the poor grade patient.
- P D Le Roux and H R Winn.
- Department of Neurosurgery, New York University, New York, USA.
- Acta Neurochir. Suppl. 1999 Jan 1; 72: 7-26.
AbstractBetween 20 and 30% of patients who suffer cerebral aneurysm rupture are in poor clinical grade when first evaluated. Management of these patients is controversial and challenging but can be successful with an aggressive proactive approach that begins with in the field resuscitation and continues through rehabilitation. In this article we review the epidemiology, pathology and pathophysiology, clinical features, evaluation, surgical and endovascular management, critical care, cost, and outcome prediction of patients in poor clinical grade after subarachnoid hemorrhage.
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