Aneurysmal Subarachnoid Hemorrhage.

Aneurysmal subarachnoid hemorrhage is a neurologic emergency that requires immediate patient stabilization and prompt diagnosis and treatment. Early measures should focus on principles of advanced cardiovascular life support. The aneurysm should be evaluated and treated in a comprehensive stroke center by a multidisciplinary team capable of endovascular and, operative approaches. Once the aneurysm is secured, the patient is best managed by a dedicated neurocritical care service to prevent and manage complications, including a syndrome of delayed neurologic decline. The goal of such specialized care is to prevent secondary injury, reduce length of stay, and improve outcomes for survivors of the disease.
Competing Interests: Disclosures Dr D.Y. Chung and Dr M. Abdalkader have no disclosures. Dr T.N. Nguyen is Principal Investigator of the CLEAR study (CT for Late Endovascular Reperfusion) funded by Medtronic and serves on the Data Safety Monitoring Board for TESLA (Thrombectomy for Emergent Salvage of Large Anterior Circulation Ischemic Stroke), ENDOLOW (Endovascular Therapy for Low NIHSS Ischemic Strokes), and SELECT 2 (a randomized controlled trial to optimize patient’s selection for endovascular treatment in acute ischemic stroke), and CREST-2 trials.
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