Abstract
Rupture 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.
MeSH terms
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Aneurysm, Ruptured / complications
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Aneurysm, Ruptured / diagnosis
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Aneurysm, Ruptured / physiopathology
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Aneurysm, Ruptured / therapy*
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Brain Damage, Chronic / diagnosis
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Brain Damage, Chronic / etiology
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Brain Damage, Chronic / surgery
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Decision Making*
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Humans
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Hydrocephalus / etiology
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Hydrocephalus / surgery
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Intracranial Aneurysm / complications
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Intracranial Aneurysm / diagnosis
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Intracranial Aneurysm / physiopathology
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Intracranial Aneurysm / therapy*
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Monitoring, Physiologic
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Neurosurgical Procedures
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Postoperative Care / methods
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Preoperative Care / methods
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Prognosis
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Secondary Prevention
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Severity of Illness Index
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Subarachnoid Hemorrhage / complications
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Subarachnoid Hemorrhage / diagnosis
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Subarachnoid Hemorrhage / physiopathology
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Subarachnoid Hemorrhage / therapy*
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Vascular Surgical Procedures