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>Revistas >Medicina Crítica >Año 1998, No. 6


Tejeda RME, Gayosso CO, Ibarra CM, Alvarado RO, Brugada MR
Hemorragia subaracnoidea
Rev Asoc Mex Med Crit y Ter Int 1998; 12 (6)

Idioma: Español
Referencias bibliográficas: 47
Paginas: 219-226
Archivo PDF: 71.22 Kb.

[Texto completo - PDF]

RESUMEN

La hemorragia subaracnoidea (HSA) secundaria a aneurisma intracraneal es una patología con alta morbimortalidad. El diagnóstico de la HSA se realiza con la tomografía axial computarizada, y la localización del aneurisma con angiografía cerebral. El vasoespasmo y el resangrado son las principales complicaciones. El manejo médico se basa principalmente en la terapia hipertensiva hipervolémica, hemodilución y nimodipina. El tratamiento quirúrgico en sus variedades temprana y tardía, es la manera habitual de obliterar el aneurisma, aunque últimamente la terapia endovascular con aplicación de espirales metálicas (coils) para su obliteración por electrotrombosis es un tratamiento alternativo.


Palabras clave: Hemorragia subaracnoidea, aneurisma intracraneal, vasoespasmo, resangrado, terapia hipertensiva hipervolémica hemodilucional.


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>Revistas >Medicina Crítica >Año1998, No. 6
 
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