Surgical Management of Aneurysmal Subarachnoid Hemorrhage: An Overview

Sarah Mohammed Albassam

Abstract: Aneurysmal subarachnoid hemorrhage (aSAH) makes up roughly 10.5 cases per 1000,000 of all strokes around the world. This review was aimed to discuss the surgical approaches for the treatment of aSAH, this paper also aims to overview the diagnostic procedures that could help in perfuming better surgical outcomes. An electronic search was conducted through MEDLINE, EMBASE, and the Cochrane Central Register of Controlled Trials, databases to identify all studies related to the surgical treatment option of Aneurysmal subarachnoid hemorrhage published up to December 2016. Aneurysmal SAH is a neurosurgical emergency with substantial morbidity and death. Effective management of patients with aSAH involves a multidisciplinary group consisting of neurosurgeons. Surgical clipping remains a conclusive treatment for ruptured cerebral aneurysms, and lots of methods have enhanced over the years to better technique, dissect, and protect both intricate and simple aneurysms following aSAH. Endovascular therapy is now a well-accepted option to surgical clipping for ruptured and non-ruptured intracranial aneurysms. The present advanced endovascular techniques for the treatment of aneurysmal SAH consist of coiling alone and coiling assisted by the balloon remodeling method. The use of freshly established self-expandable stents seems appealing, as their safety and effectiveness have actually been shown for the treatment of non-ruptured aneurysms. Keywords: Aneurysmal subarachnoid hemorrhage (aSAH), neurosurgical. Title: Surgical Management of Aneurysmal Subarachnoid Hemorrhage: An Overview Author: Sarah Mohammed Albassam International Journal of Healthcare Sciences ISSN 2348-5728 (Online) Research Publish Journals

Vol. 4, Issue 2, October 2016 – March 2017

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Surgical Management of Aneurysmal Subarachnoid Hemorrhage: An Overview by Sarah Mohammed Albassam