Aneurysmal subarachnoid hemorrhage (aSAH) still represents a significant cause of morbidity and mortality around the world and its outcome can be dramatically impacted by early and expert care. SAH treatment comprises early neurosurgical or endovascular treatment of the ruptured aneurysm, strategies to reduce further neurological injury, and managing systemic complications. In fact, management of aSAH is a multidisciplinary issue and the current state of knowledge is in rapid evolution. Nevertheless, the guidelines are not up to date. The last American aSAH guidelines were issued in 2012 and covered literature up until May 2010, and in 2013 members of the Guidelines Committee of the European Stroke Organization reviewed them from a European standpoint. Since then, considerable advances have been made in diagnostic methods, surgical and endovascular techniques, and clinical management paradigms.
Subarachnoid hemorrhage is still a relevant health problem and, although its incidence varies among populations, a quarter of patients affected by aSAH die and approximately half of survivors are left with some persistent neurological deficit. Taking into account the fact that the prognosis of aSAH patients is affected by multiple factors and that some of them can be influenced by therapeutic strategies and management procedures, we believe that there is a need to reassess which interventions provide the greatest benefit to patients.
The aim of this Research Topic is to gather publications that focus on the progress and update of management paradigms and therapeutic modalities to assist clinicians in the day-to-day multidisciplinary management of aSAH. We encourage the submission of original research reports, methods articles, perspectives, reviews and mini reviews in the following (but not limited to) topics:
-Ruptured aneurysm and the neurosurgeon: when is surgical clipping advisable?
-Development of new endovascular device devices to treat ruptured aneurism. Pros and cons and outcome results.
-Implementation of management of vasospasm and neurocritical care of patients affected by subarachnoid aneurysm hemorrhage (SAH).
-Improvement in neuroradiologic technique to predict SAH outcome.
-Working as a team: multidisciplinary management of SAH.
Aneurysmal subarachnoid hemorrhage (aSAH) still represents a significant cause of morbidity and mortality around the world and its outcome can be dramatically impacted by early and expert care. SAH treatment comprises early neurosurgical or endovascular treatment of the ruptured aneurysm, strategies to reduce further neurological injury, and managing systemic complications. In fact, management of aSAH is a multidisciplinary issue and the current state of knowledge is in rapid evolution. Nevertheless, the guidelines are not up to date. The last American aSAH guidelines were issued in 2012 and covered literature up until May 2010, and in 2013 members of the Guidelines Committee of the European Stroke Organization reviewed them from a European standpoint. Since then, considerable advances have been made in diagnostic methods, surgical and endovascular techniques, and clinical management paradigms.
Subarachnoid hemorrhage is still a relevant health problem and, although its incidence varies among populations, a quarter of patients affected by aSAH die and approximately half of survivors are left with some persistent neurological deficit. Taking into account the fact that the prognosis of aSAH patients is affected by multiple factors and that some of them can be influenced by therapeutic strategies and management procedures, we believe that there is a need to reassess which interventions provide the greatest benefit to patients.
The aim of this Research Topic is to gather publications that focus on the progress and update of management paradigms and therapeutic modalities to assist clinicians in the day-to-day multidisciplinary management of aSAH. We encourage the submission of original research reports, methods articles, perspectives, reviews and mini reviews in the following (but not limited to) topics:
-Ruptured aneurysm and the neurosurgeon: when is surgical clipping advisable?
-Development of new endovascular device devices to treat ruptured aneurism. Pros and cons and outcome results.
-Implementation of management of vasospasm and neurocritical care of patients affected by subarachnoid aneurysm hemorrhage (SAH).
-Improvement in neuroradiologic technique to predict SAH outcome.
-Working as a team: multidisciplinary management of SAH.