Brain edema after aneurysmal subarachnoid hemorrhage

Global edema is an independent risk factor for mortality and poor outcome after SAH. Loss of consciousness, which may reflect ictal circulatory brain arrest, is a risk factor for admission global edema, and vasopressor-induced hypertension is associated with the development of delayed global edema. Critical care management strategies that minimize edema formation after SAH may improve outcome 2).


1)
Hayman EG, Wessell A, Gerzanich V, Sheth KN, Simard JM. Mechanisms of Global Cerebral Edema Formation in Aneurysmal Subarachnoid Hemorrhage. Neurocrit Care. 2017 Apr;26(2):301-310. doi: 10.1007/s12028-016-0354-7. PMID: 27995510; PMCID: PMC5336395.
2)
Claassen J, Carhuapoma JR, Kreiter KT, Du EY, Connolly ES, Mayer SA. Global cerebral edema after subarachnoid hemorrhage: frequency, predictors, and impact on outcome. Stroke. 2002 May;33(5):1225-32. doi: 10.1161/01.str.0000015624.29071.1f. PMID: 11988595.
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