학술논문

how to manage the patient with a family history of aneurysmal subarachnoid haemorrhage.
Document Type
Other
Author
Source
Practical Neurology. Apr2004, Vol. 4 Issue 2, p88-103. 16p. 2 Color Photographs, 3 Black and White Photographs, 5 Charts, 1 Graph.
Subject
*ANEURYSMS
*HEMORRHAGE
*ANGIOGRAPHY
*ARTERIAL injuries
*MEDICAL radiography
*THERAPEUTICS
Language
ISSN
1474-7758
Abstract
The article presents information about a family history of aneurysmal subarachnoid haemorrhage (SAH). Individuals most at risk of aneurysmal SAH are those with a family history of at least two first-degree relatives with an SAH. CT angiography and MR angiogrpahy, performed and reported by experts can reliably detect aneursyms larger than 5 mm. Treatment risk rise with age and also depend on the site and size of aneursym. In patients with no prior history of SAH, risk benefit analysis favors treatment in people who are less than fifty years of age. The role of coiling as opposed to clipping in the treatment of unruptured aneurysms is promising.