• Neurosurg. Clin. N. Am. · Jul 1998

    Review

    Management of the ruptured aneurysm.

    • P D Le Roux and H R Winn.
    • Department of Neurosurgery, New York University, New York, USA.
    • Neurosurg. Clin. N. Am. 1998 Jul 1; 9 (3): 525-40.

    AbstractRupture of cerebral aneurysms is a complex and devastating pathophysiologic event. The successful management of aneurysm rupture requires a dedicated multidisciplinary team. This article reviews pathophysiology; clinical grading that can be used to predict outcome and guide therapy; factors that may affect outcome such as rebleeding, poor clinical grade, intracerebral hemorrhage, intraventricular hemorrhage, and acute hydrocephalus; preoperative care and assessment; pharmacological therapy; anesthetic, surgical, and endovascular considerations; and postoperative care following aneurysm rupture.

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