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Intracranial aneurysm and subarachnoid haemorrhage (SAH) – Related resources

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Intracranial aneurysm and subarachnoid haemorrhage (SAH) – Related resources

02.06.2016 • Sonuncu dəyişiklik 23.11.2012
This article is created and updated by the EBMG Editorial Team

Cochrane reviews

  • Antiplatelet agents may slightly improve the outcome in patients with aneurysmal subarachnoid haemorrhage but at the increased risk for haemorrhagic complications .
  • Endothelin receptor antagonists appear to reduce delayed ischemic neurological deficit and angiographic vasospasm in subarachnoid hemorrhage but at the cost of adverse events and the impact on clinical outcome appears to be unclear .
  • Endovascular coiling of a ruptured aneurysm in the brain appears to lead to a better outcome than surgical clipping in patients who are in good clinical condition and suitable for either treatment .
  • Antifibrinolytic treatment does not improve clinical outcome in people after subarachnoid haemorrhage (SAH), although it does reduce the risk of rebleeding .

Literature

    Huttunen T, Riihinen A, Pukkala E et al. Increased relative risk of lung cancer in 2,904 patients with saccular intracranial aneurysm disease in eastern Finland. Neuroepidemiology 2012;38(2):93-9. Perry JJ, Stiell IG, Sivilotti ML, Bullard MJ, Emond M, Symington C, Sutherland J, Worster A, Hohl C, Lee JS, Eisenhauer MA, Mortensen M, Mackey D, Pauls M, Lesiuk H, Wells GA. Sensitivity of computed tomography performed within six hours of onset of headache for diagnosis of subarachnoid haemorrhage: prospective cohort study. BMJ 2011 Jul 18;343():d4277.
  • Bederson JB, Connolly ES Jr, Batjer HH, Dacey RG, Dion JE, Diringer MN, Duldner JE Jr, Harbaugh RE, Patel AB, Rosenwasser RH, American Heart Association. Guidelines for the management of aneurysmal subarachnoid hemorrhage: a statement for healthcare professionals from a special writing group of the Stroke Council, American Heart Association. Stroke 2009 Mar;40(3):994-1025.
  • Levine JM. Critical care management of subarachnoid hemorrhage. Curr Treat Options Neurol 2009 Mar;11(2):126-36.
  • Molyneux AJ, Kerr RS, Yu LM, Clarke M, Sneade M, Yarnold JA, Sandercock P, International Subarachnoid Aneurysm Trial (ISAT) Collaborative Group. International subarachnoid aneurysm trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomised comparison of effects on survival, dependency, seizures, rebleeding, subgroups, and aneurysm occlusion. Lancet 2005 Sep 3-9;366(9488):809-17.
  • van der Schaaf I, Algra A, Wermer M, Molyneux A, Clarke M, van Gijn J, Rinkel G. Endovascular coiling versus neurosurgical clipping for patients with aneurysmal subarachnoid haemorrhage. Cochrane Database Syst Rev 2005 Oct 19;(4):CD003085.
  • van der Voet M, Olson JM, Kuivaniemi H, Dudek DM, Skunca M, Ronkainen A, Niemelä M, Jääskeläinen J, Hernesniemi J, Helin K, Leinonen E, Biswas M, Tromp G. Intracranial aneurysms in Finnish families: confirmation of linkage and refinement of the interval to chromosome 19q13.3. Am J Hum Genet 2004 Mar;74(3):564-71.