Management of Patients Presenting with Acute Subdural Hematoma due to Ruptured Intracranial Aneurysm

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....

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Main Authors:	Marbacher, Serge, Tomasi, Ottavio, Fandino, Javier
Format:	Online
Language:	English
Published:	Hindawi Publishing Corporation 2012
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3303750/

id	pubmed-3303750
recordtype	oai_dc
spelling	pubmed-33037502012-04-12 Management of Patients Presenting with Acute Subdural Hematoma due to Ruptured Intracranial Aneurysm Marbacher, Serge Tomasi, Ottavio Fandino, Javier Review Article 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. Hindawi Publishing Corporation 2012 2012-03-01 /pmc/articles/PMC3303750/ /pubmed/22500234 http://dx.doi.org/10.1155/2012/753596 Text en Copyright © 2012 Serge Marbacher et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	Marbacher, Serge Tomasi, Ottavio Fandino, Javier
spellingShingle	Marbacher, Serge Tomasi, Ottavio Fandino, Javier Management of Patients Presenting with Acute Subdural Hematoma due to Ruptured Intracranial Aneurysm
author_facet	Marbacher, Serge Tomasi, Ottavio Fandino, Javier
author_sort	Marbacher, Serge
title	Management of Patients Presenting with Acute Subdural Hematoma due to Ruptured Intracranial Aneurysm
title_short	Management of Patients Presenting with Acute Subdural Hematoma due to Ruptured Intracranial Aneurysm
title_full	Management of Patients Presenting with Acute Subdural Hematoma due to Ruptured Intracranial Aneurysm
title_fullStr	Management of Patients Presenting with Acute Subdural Hematoma due to Ruptured Intracranial Aneurysm
title_full_unstemmed	Management of Patients Presenting with Acute Subdural Hematoma due to Ruptured Intracranial Aneurysm
title_sort	management of patients presenting with acute subdural hematoma due to ruptured intracranial aneurysm
description	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.
publisher	Hindawi Publishing Corporation
publishDate	2012
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3303750/
_version_	1611513959483965440

Management of Patients Presenting with Acute Subdural Hematoma due to Ruptured Intracranial Aneurysm

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