Systemic Complications Following Aneurysmal Subarachnoid Hemorrhage

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• 作者：Ravi Garg ; Barak Bar
• 关键词：Aneurysmal subarachnoid hemorrhage ; Neurogenic pulmonary edema ; Neurogenic stunned myocardium ; Cerebral salt wasting ; SIADH ; Anemia ; Systemic complications
• 刊名：Current Neurology and Neuroscience Reports
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：17
• 期：1
• 全文大小：
• 刊物主题：Neurology; Neurosciences;
• 出版者：Springer US
• ISSN：1534-6293
• 卷排序：17

文摘

Many systemic complications follow aneurysmal subarachnoid hemorrhage and are primarily due to sympathetic nervous system activation. These complications play an important role in the overall outcome of patients. The purpose of this review is to provide an update on the diagnosis, pathophysiology, and management of systemic complications specifically associated with aneurysmal subarachnoid hemorrhage. Special focus has been made on systemic complications that occur more frequently in patients with aneurysmal subarachnoid hemorrhage compared to other stroke subtypes and in the neurocritical care patient population. These complications include neurogenic pulmonary edema, electrocardiographic changes, troponin elevation, neurogenic stunned myocardium, hyponatremia, and anemia.