Spontaneous Subarachnoid Haemorrhage: Well-Known and New Approaches


Thomas Kapapa and Ralph König (Editors)
Senior Physicians, Associate Professors, Department of Neurosurgery, University of Ulm, Ulm, Germany

Series: Surgery – Procedures, Complications, and Results
BISAC: MED085010

Hippocrates of Cos was one of the first who described spontaneous subarachnoid haemorrhage without special knowledge about neuro-anatomy or neuro-physiology. This haemorrhage represented a life ending event of fate for him. Inventions like computed tomography or angiography gave better insight into the patterns of this life threatening disease. Progress in management was developed by new cranial approaches, new generations of clips and better intensive care modalities. The latter could be represented by the increasing use of nimodipine or the integration of the early sealing mode of an intracranial aneurysm after rupture within 72 hours. Endovascular therapies revolutionised aneurysm management, strengthening the interdisciplinary team-work of neuroradiologists, anesthesists and neurosurgeons. These changes in the past lead to a significant reduction in mortality, producing more survivors who suffer different stages of morbidity.

Morbidity in this context is represented by physical handicaps and dependencies, but also mental, emotional and cognitive impairments. However, there are still some challenges to manage, like the cerebral vasospasm or delayed cerebral ischemia including spreading depolarisations, (prolonged) hydrocephalus, and cognitive long-term morbidity that may complicate a smooth and easy reintegration into daily life.

Nevertheless, dealing with this long history and the aforementioned challenges, there is still the opinion that there is stagnation in the progress within this field of study. Scientists lack new ideas for surgical procedures or clips, endovascular devices do not always represent safe options, and medication providing protection for vasospasms still remains unknown.

This book provides basic knowledge concerning this interesting disease pattern and introduces more intensive work in the field. It is written by a team of individuals from multiple disciplines that represent different parts of therapy management. The literature used is recent and promotes intensive private or independent study. The intended audiences for this book include students, residents, registrars, assistant physicians, and all physicians from neighbouring disciplines. (Imprint: Nova Biomedical)

Table of Contents

Table of Contents


Chapter 1. History of Subarachnoid Haemorrhage
Dieter H. Woischneck (Neurosurgical Department, Hospital Landshut, Landshut, Germany)

Chapter 2. Arterial and Venous Vascularisation of the Brain
Horst Claassen (Institute of Anatomy and Cell Biology, Martin Luther University Halle-Wittenberg, Grosse Steinstrasse, Halle (Saale), Germany)

Chapter 3. Neuropathology of Subarachnoid Haemorrhage
Angelika Scheuerle (Section Neuropathology, University Ulm, Ludwig-Heilmeyer-Straße, Günzburg, Germany

Chapter 4. Subarachnoid Haemorrhage
Stefan Röhrer (Department of Neurosurgery, University of Ulm, Albert-Einstein-Allee, Ulm, Germany)

Chapter 5. Risk Factors: Formation, Growth, Rupture
Karl-Michael Schebesch and Petra Schödel (Neurochirurgische Klinik, University of Regensburg, Franz-Josef-Strauß-Allee, Regensburg, Germany)

Chapter 6. Scales
Petra Schödel and Karl-Michael Schebesch (Neurochirurgische Klinik, University of Regensburg, Franz-Josef-Strauß-Allee, Regensburg, Germany)

Chapter 7. Symptoms, Extracranial Manifestations
Petra Schödel and Karl-Michael Schebesch (Neurochirurgische Klinik, University of Regensburg, Franz-Josef-Strauß-Allee, Regensburg, Germany)

Chapter 8. Admission, Diagnostic Imaging, Acute Hydrocephalus
Thomas Schmidt (Department of Neurosurgery, Evangelic Hospital Oldenburg, Medical Campus University of Oldenburg,Steinweg, Oldenburg, Germany)

Chapter 9. Endovascular Treatment of Aneurysms. Pre-, Peri- and Post- Interventional Management
G. Friedrich Götz (Medical School Hanover, Carl-Neuberg-Strasse, Hanvover, Germany)

Chapter 10. Aneurysms: Surgical Therapy
Ralph König (Department of Neurosurgery, University of Ulm, Ludwig-Heilmeyer-Straße, Günzburg, Germany)

Chapter 11. Decompressive Craniectomy and Aneurysmal Subarachnoid Haemorrhage
Stefan Röhrer (Department of Neurosurgery, University of Ulm, Albert-Einstein-Allee, Ulm, Germany)

Chapter 12. Intensive Therapy I for SAH
Thomas Kerz (Department of Neurosurgery, Johannes Gutenberg University of Mainz, Langenbeckstraße, Mainz, Germany)

Chapter 13. Intensive Care: Monitoring
Werner Klingler and Dirk Repkewitz (Division of Neurophysiology, Ulm University, Albert-Einstein-Allee, Ulm, Germany, and others)

Chapter 14. Neuroprotection: DCI, Vasospasm, Nimodipine
Christian Heinen (Department of Neurosurgery, Evangelical Hospital Oldenburg, Steinweg, Oldenburg, Germany)

Chapter 15. Endovascular Treatment Options for Cerebral Vasospasm after Spontaneous Subarachnoid Haemorrhage
Yigit Ozpeynirci and Bernd Schmitz (Section Neuroradiology, University of Ulm, Ludwig-Heilmaier-Strasse Ludwig-Heilmeyer-Straße, Günzburg, Germany)

Chapter 16. Chronic Hydrocephalus after Subarachnoid Haermorrhage
Alexandra Huthmann and Christoph A. Tschan (Department of Neurosurgery, Ludmillenstift Meppen, Ludmillenstraße, Meppen, Germany)

Chapter 17. Epileptic Seizures in Association with Spontaneous Subarachnoid Haemorrhage
Sarah Jesse (Department of Neurology, University of Ulm, Oberer Eselsberg, Ulm, German)

Chapter 18. Neurorehabilitation after Subarachnoid Haemorrhage
Martin Schorl and Michael Hartwich (Early Neurological/Neurosurgical Rehabilitation, Asklepios Schlossbergklinik Bad König, Frankfurter Strasse, Bad König, Germany)

Chapter 19. Cognitive Plasticity after Spontaneous Subarachnoid Haemorrhage
Christine Brand (Department of Neurosurgery, University of Ulm, Albert-Einstein-Allee, Germany)

Chapter 20. Health-Related Quality of Life following Spontaneous Subarachnoid Haemorrhage as an Assessment Criterion for Therapeutic Outcome
Thomas Kapapa (Department of Neurosurgery, University of Ulm, Albert-Einstein-Allee, Ulm, Germany)

Chapter 21. Experimental Models for the Study of Subarachnoid Haemorrhage
Nicole A. Terpolilli (Department of Neurosurgery, Ludwig-Maximilians University of Munich, Marchioninistr, Munich, Germany)


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