Aneurysmal Subarachnoid Hemorrhage: From Diagnosis to Treatment

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Irina Alexandrovna Savvina, PhD – Chief Researcher, Russian Polenov Scientific Research Neurosurgical Institute, Branch of the National Almazov Medical Research Centre of Ministry of Health Care of Russian Federation; Professor of the Vladimir L. Vanevskii Department of Anaesthesiology and Reanimatology, North-Western State Medical University named after Ilya I. Mechnikov, St. Petersburg, Russia

Series: Neurosurgery Research Progress
BISAC: MED056000; MED085010
DOI: https://doi.org/10.52305/DNGF4073

This book includes questions of the etiology and morphogenesis of cerebral aneurysms, pathophysiological and pathomorphological aspects of subarachnoid hemorrhage and cerebral vasospasm, the relationship between constitution and developmental risk of subarachnoid hemorrhage, hemostasiological disorders in patients with aneurysmal subarachnoid and intracranial hemorrhage, peculiarities of diagnosis and methods of conservative and neurosurgical treatment in different types of patients with subarachnoid hemorrhage – adults, pregnant women and children. Anesthetic management of cerebral aneurysm surgery is an important topic of discussion. A special chapter is devoted to the analysis of the COVID-19 pandemic’s influence on the dynamic of subarachnoid hemorrhage incidence as a neurovascular emergency. Finally, a very interesting chapter regarding the concerns, developments, and future direction of aneurysmal subarachnoid hemorrhage management is included. This book was written by neurologists, neuroradiologists, neurosurgeons, anesthesiologists and intensive care specialists, pathologists, laboratory diagnosticians and hemostasiologists – 23 authors from 4 countries, whose daily work is to manage and treat emergency vascular neurosurgical patients.

Table of Contents

Foreword

Preface

Acknowledgements

Chapter 1. Aneurysmal Subarachnoid Hemorrhage in the Pandemic Era
Andreas Theofanopoulos MD and Constantine Constantoyannis MD, PhD
Neurosurgery Department, University Hospital of Patras, Patras, Greece

Chapter 2. Aneurysmal Subarachnoid Hemorrhage: From Diagnosis to Treatment
Irina A. Savvina1,2, DScMed, Yulia M. Zabrodskaya2, DScMed, Larisa V. Rozhchenko3, PhD, Sergey A. Goroshchenko3, PhD, Elena G. Potemkina4, DScMed, Anna O. Petrova1, PhD, and Konstantin A. Samochernykh3, DScMed
1Department of Anesthesiology and Intensive Care, Almazov National Medical Research Centre of Ministry of Health Care of Russian Federation, Saint Petersburg, Russian Federation
2Department of Pathomorphology of Nervous System, Russian Polenov Scientific Research Neurosurgical Institute – Branch of the Almazov National Medical Research Centre of Ministry of Health Care of Russian Federation, Saint Petersburg, Russian Federation
3Department of Neurosurgery of Cerebral Vessels, Russian Polenov Scientific Research Neurosurgical Institute – Branch of the Almazov National Medical Research Centre of Ministry of Health Care of Russian Federation, Saint Petersburg, Russian Federation
4Department of Radiation Diagnostics, Russian Polenov Scientific Research Neurosurgical Institute – Branch of the Almazov National Medical Research Centre of Ministry of Health Care of Russian Federation, Saint Petersburg, Russian Federation

Chapter 3. Anesthetic Management of Cerebral Aneurysm Surgery
Irina A. Savvina1,2, DScMed and Anna O. Petrova1, PhD
¹Department of Anesthesiology and Intensive Care, Almazov National Medical Research Centre of Ministry of Health Care of Russian Federation, Saint Petersburg, Russian Federation
²Department of Anesthesiology and Intensive Care named after Vladimir L. Vanevskii of the North-Western State Medical University named after Ilya I. Mechnikov of Ministry of Health Care of Russian Federation, Saint Petersburg, Russian Federation

Chapter 4. Hemostasiological Disorders in Patients with Aneurysmal Subarachnoid and Intracranial Hemorrhage
Natalia V. Dryagina, PhD
Department of Laboratory Diagnostics, Russian Polenov Scientific Research Neurosurgical Institute – branch of the Almazov National Medical Research Centre of Ministry of Health Care of Russian Federation, Saint Petersburg, Russian Federation

Chapter 5. Subarachnoid Haemorrhage in Pregnancy
Aynagul Zh. Bayalieva, Munir Mohsin, Veronika R. Davydova and Roman Ya. Shpaner
Department of Anesthesiology and Resuscitation, Disaster Medicine, Kazan State Medical University, Kazan, Russian Federation

Chapter 6. Differential Diagnosis and Treatment Tactics for Subarachnoid Hemorrhage in Children
Eleonora T. Nazaralieva1,2, Ph D, and William A. Khachatryan1, PhD
1Department of Pediatric Neurosurgery, Almazov National Medical Research Centre of Ministry of Health Care of Russian Federation, Saint Petersburg, Russian Federation
2National Hospital of Ministry of Health of Kyrgyz Republic, Bishkek, Kyrgyzstan

Chapter 7. Concerns, Developments, and Future Direction of Aneurysmal Subarachnoid Hemorrhage Management
Yusuf Mehkri1, William Dodd1, Abeer Dagra1, Alec Clark2 and Brandon Lucke-Wold1,*, MD, PhD, MCTS
1Department of Neurosurgery, University of Florida, Gainesville, FL, USA
2College of Medicine, University of Central Florida, Orlando, FL, USA

Chapter 8. Subarachnoid Hemorrhage and Vasospasm: Understanding the Pathophysiology
Yusuf Mehkri1, William Dodd1, Alec Clark2, Coulter Small1, Abeer Dagra1, Eric Williams1 and Brandon Lucke-Wold1
1
Department of Neurosurgery, University of Florida, Gainesville, USA
2University of Central Florida, College of Medicine, Orlando, USA

Index