Skip to main content
SpringerLink
Log in

Subarachnoidalblutung

  • Living reference work entry
  • First Online:
Klinische Neurologie

Part of the book series: Springer Reference Medizin ((SRM))

  • 419 Accesses

Zusammenfassung

Die Blutung aus den großen Gefäßen des Circulus arteriosus Willisii führt aufgrund der anatomischen Gegebenheiten zu einer Subarachnoidalblutung (SAB) mit dem Leitsymptom heftigster Kopfschmerz. Die wichtigste Ursache sind zerebrale Aneurysmen (85 %). Darüber hinaus können Verletzungen, andere vaskuläre Malformationen, Neoplasmen, Gerinnungsstörungen, ein reversibles zerebrales Vasokonstriktionssyndrom (RCVS), Medikamentenabusus oder entzündliche Gefäßerkrankungen zugrunde liegen. Mit einer Mortalität von 25 % und einer Morbidität von 50 % der Überlebenden ist die SAB ein gefährliches Krankheitsbild.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution

Institutional subscriptions

Similar content being viewed by others

Literatur

  • Awad HH, McNeal AR, Goyal H (2018) Reverse Takotsubo cardiomyopathy: a comprehensive review. Ann Transl Med 6(23):460

    Article  Google Scholar 

  • Cho SS, Kim SE, Kim HC, Kim WJ, Jeon JP (2019) Clazosentan for aneurysmal subarachnoid hemorrhage: an updated meta-analysis with trial sequential analysis. World Neurosurg. 123:418–424

    PubMed  Google Scholar 

  • Dorhout Mees S, Rinkel GJE, Feigin VL, Algra A, van den Bergh WM, Vermeulen M, van Gijn J (2007) Calcium antagonists for aneurysmal subarachnoid haemorrhage. Cochrane Database Syst Rev (3):CD000277. https://doi.org/10.1002/14651858.CD000277.pub3

  • Ehlert A, Schmidt C, Wölfer J, Manthei G, Jacobs AH, Brüning R, Heindel W, Ringelstein EB, Stummer W, Pluta RM, Hesselmann V (2016) Molsidomine for the prevention of vasospasm-related delayed ischemic neurological deficits and delayed brain infarction and the improvement of clinical outcome after subarachnoid hemorrhage: a single-center clinical observational study. J Neurosurg 124(1):51–58

    Article  CAS  Google Scholar 

  • Fisher CM, Kistier JP, Davis JM (1980) Relation of cerebral vasospasm to subarachnoid hemorrhage visualized by computerized tomographic scanning. Neurosurgery 6:1–9

    Article  CAS  Google Scholar 

  • Hunt WE, Hess RM (1968) Surgical risk as related to time of intervention in the repair of intracranial aneurysms. J Neurosurg 28:14–20

    Article  CAS  Google Scholar 

  • Hunt WE, Kosnik EJ (1974) Timing and perioperative care in intracranial aneurysm surgery. Clin Neurosurg 21:79–89

    Article  CAS  Google Scholar 

  • Johnston SC, Dowd CF, Higashida RT, Lawton MT, Duckwiler GR, Gress DR, CARAT Investigators (2008) Predictors of rehemorrhage after treatment of ruptured intracranial aneurysms: the Cerebral Aneurysm Rerupture After Treatment (CARAT) study. Stroke 39:120–125

    Article  Google Scholar 

  • Juvela S, Hillbom M, Numminen H, Koskinen P (1993) Cigarette smoking and alcohol consumption as risk factors for aneurysmal sub-arachnoid hemorrhage. Stroke 24:639–646

    Article  CAS  Google Scholar 

  • Kalita J, Singh RK, Misra UK (2017) Cerebral salt wasting is the most common cause of hyponatremia in stroke. J Stroke Cerebrovasc Dis 26(5):1026–1032

    Article  Google Scholar 

  • Konczalla J, Seifert V, Beck J, Güresir E, Vatter H, Raabe A, Marquardt G (2018) Outcome after Hunt and Hess Grade V subarachnoid hemorrhage: a comparison of pre-coiling era (1980–1995) versus post-ISAT era (2005–2014). J Neurosurg 128(1):100–110

    Article  Google Scholar 

  • Kouskouras C, Charitanti A, Giavroglou C et al (2004) Intracranial aneurysms: evaluation using CTA and MRA. Correlation with DSA and intraoperative findings. Neuroradiology 46:842–850

    Article  CAS  Google Scholar 

  • Lindgren A, Vergouwen MDI, van der Schaaf I, Algra A, Wermer M, Clarke MJ, Rinkel GJE (2018) Endovascular coiling versus neurosurgical clipping for people with aneurysmal subarachnoid haemorrhage. Cochrane Database Syst Rev (8):CD003085. https://doi.org/10.1002/14651858.CD003085.pub3

  • Longstreth WT Jr, Nelson LM, Koepsell TD, van Belle G (1992) Cigarette smoking, alcohol use, and subarachnoid hemorrhage. Stroke 23:1242–1249

    Article  Google Scholar 

  • Molyneux A, Kerr R, Stratton I, Sandercock P, Clarke M, Shrimpton J, Holman R (2002) International Subarachnoid Aneurysm Trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomised trial. Lancet 360:1267–1274

    Article  Google Scholar 

  • Molyneux AJ, Kerr RS, Yu LM, Clarke M, Sneade M, Yarnold JA, Sandercock P (2005) International Subarachnoid Aneurysm Trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomised comparison of effects on survival, dependency, seizures, rebleeding, subgroups, and aneurysm occlusion. Lancet 366:809–817

    Article  Google Scholar 

  • Polmear A (2003) Sentinel headaches in aneurysmal subarachnoid haemorrhage: what is the true incidence? A systematic review. Cephalalgia 23:935–941

    Article  CAS  Google Scholar 

  • Rinkel GJE, Wijdicks EFM, Hasan D et al (1991) Outcome in patients with subarachnoid haemorrhage and negative angiography according to pattern of hemorrhage on computed tomography. Lancet 338:964–968

    Article  CAS  Google Scholar 

  • Ruigrok YM, Seitz U, Wolterink S, Rinkel GJ, Wijmenga C, Urban Z (2004) Association of polymorphisms and haplotypes in the elastin gene in Dutch patients with sporadic aneurysmal subarachnoid hemorrhage. Stroke 35:2064–2068

    Article  CAS  Google Scholar 

  • Sano H, Satoh A, Murayama Y, Kato Y, Origasa H, Inamasu J, Nouri M, Cherian I, Saito N, members of the 38 registered institutions and WFNS Cerebrovascular Disease & Treatment Committee (2015) Modified World Federation of Neurosurgical Societies subarachnoid hemorrhage grading system. World Neurosurg 83(5):801–807

    Article  Google Scholar 

  • Scott RB, Eccles F, Molyneux AJ, Kerr RS, Rothwell PM, Carpenter K (2010) Improved cognitive outcomes with endovascular coiling of ruptured intracranial aneurysms: neuropsychological outcomes from the International Subarachnoid Aneurysm Trial (ISAT). Stroke 41:1743–1747

    Article  Google Scholar 

  • Treggiari MM, Walder B, Suter PM, Romand JA (2003) Systematic review of the prevention of delayed ischemic neurological deficits with hypertension, hypervolemia, and hemodilution therapy following subarachnoid hemorrhage. J Neurosurg 98:978–984

    Article  Google Scholar 

  • Weiss M, Schubert GA (2017) Endovascular rescue therapy for refractory vasospasm: when and how? AJNR Am J Neuroradiol 38(3):568–569

    Article  CAS  Google Scholar 

  • Wiebers DO (2005) Patients with small, asymptomatic, unruptured intracranial aneurysmas and no history of subarachnoid hemorrhage should generally be treated conservatively. Stroke 36:408–409

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. DGN, Berlin, Deutschland

    Peter Berlit

Authors
  1. Peter Berlit
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Peter Berlit .

Editor information

Editors and Affiliations

  1. Essen, Germany

    Peter Berlit

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature

About this entry

Check for updates. Verify currency and authenticity via CrossMark

Cite this entry

Berlit, P. (2019). Subarachnoidalblutung. In: Berlit, P. (eds) Klinische Neurologie. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-44768-0_154-1

Download citation

  • DOI: https://doi.org/10.1007/978-3-662-44768-0_154-1

  • Received:

  • Accepted:

  • Published:

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-44768-0

  • Online ISBN: 978-3-662-44768-0

  • eBook Packages: Springer Referenz Medizin

Publish with us

Policies and ethics

Search

Navigation