Treatment of Aneurysmal Subarachnoid Hemorrhage with Acute Symptomatic Hydrocephalus
Aneurysmal subarachnoid hemorrhage (aSAH) can be complicated by the acute onset of symptomatic hydrocephalus — a time-sensitive emergency that demands prompt intervention to reduce the risk of neurological deterioration.
Clinical Scenario
Patients presenting with aSAH and acute symptomatic hydrocephalus require urgent assessment and intervention. Hydrocephalus in this setting reflects impaired cerebrospinal fluid circulation and carries significant risk of secondary injury if not addressed rapidly.
Treatment Approach
The evidence-based approach centres on urgent cerebrospinal fluid (CSF) diversion. Specific indications, device selection, and procedural sequencing are detailed in the full protocol.
Complete regimen, decision criteria, and sequencing available via the link below.
References
DOI: 10.1161/str.0000000000000436
In patients with aSAH and acute symptomatic hydrocephalus, urgent CSF diversion (EVD and/or lumbar drainage) should be performed to improve neurological outcome.
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