神经病学 蛛网膜下腔出血.pptVIP

EndovascularCoilingPre-treatment(left)andpost-treatment(right)angiogramimagesofarupturedaneurysmneartheoriginoftheposteriorcerebralarterytreatedsuccessfullywithendovascularcoiling.Thecoilsarevisible,fillingtheaneurysmonthepost-treatmentimageSurgicalandEndovascularMethodsofTreatmentofRupturedCerebralAneurysms:Recommendations非动脉瘤性SAH其他原因引起中脑周围SAH：诊断必须排除动脉瘤性出血，典型的出血部位在中脑周围和脑桥前的脑池内(即大脑外侧裂和纵裂无血液积聚)，临床症状较轻且转归不良的比例较小，不推荐重复DSA非中脑周围性SAH：随诊DSA阳性结果5-35%NaturalHistoryandOutcomeofaSAHMortalityratesvarywidely8-67%。Themedianmortalityratef