Surg Neurol
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Review
Principles of neuroanesthesia in aneurysmal subarachnoid hemorrhage: The Helsinki experience.
Aneurysmal subarachnoid hemorrhage is a devastating disease that is followed by a marked stress response affecting other organs besides the brain. The aim in the management of patients with aSAH is not only to prevent rebleedings by treating the aneurysm by either microneurosurgery or endovascular surgery, but also to evacuate acute space-occupying hematomas and to treat hydrocephalus. ⋯ Multidisciplinary and professional teamwork is essential in the management of patients with cerebral aneurysms.