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Vol. 22. Issue 2.
Pages 93-115 (January 2011)
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Vol. 22. Issue 2.
Pages 93-115 (January 2011)
Hemorragia subaracnoidea aneurismática: Guía de tratamiento del Grupo de Patología Vascular de la Sociedad Española de Neurocirugía
Aneurysmal subarachnoid hemorrhage: Group of study of Cerebrovascular Pathology of the Spanish Society of Neurosurgery management guideline
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A. Lagares, P.A. Gómez, J.F. Alén
Hospital 12 de Octubre Madrid. Hospital Vall d'Hebron Barcelona
F. Arikan1, R. Sarabia2, A. Horcajadas3, J. Ibañez4, A. Gabarros5, J. Morera6, A. de la Lama7, L. Ley8, J. Gonçalves9, A. Maillo9, J. Domínguez10, J.L. Llacer11, I. Arrese12, D. Santamarta13, P. Delgado14, G. Rodríguez Boto15, J. Vilalta1
1 Hospital 12 de Octubre Madrid. Hospital Vall d'Hebron Barcelona
2 Hospital Universitario Rio Hortega Valladolid
3 Hospital Virgen de las Nieves Granada
4 Hospital Son Dureta Palma de Mallorca
5 Hospital Bellvitge Barcelona
6 Hospital Doctor Negrín Las Palmas de Gran Canaria
7 Hospital Xeral Vigo
8 Hospital Puerta de Hierro Madrid
9 Hospital Clínico Universitario Salamanca
10 Hospital Virgen de la Candelaria Tenerife
11 Hospital Ribera Alcira
12 Hospital Donosti San Sebastián
13 Hospital Virgen Blanca León
14 Hospital General Yagüe Burgos
15 Hospital Clínico Universitario de Madrid
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Resumen

Se realiza una actualización sobre los aspectos más importantes de la hemorragia subaracnoidea aneurismática respecto a las guías previamente publicadas por el grupo de trabajo de la SENEC. Las recomendaciones propuestas deben considerarse como una guía general de manejo de esta patología. Sin embargo, pueden ser modificadas, incluso de manera significativa por las circunstancias propias de cada caso clínico, o las variaciones en los recursos diagnósticos y terapéuticos del centro hospitalario que reciba al paciente.

Palabras clave:
Hemorragia subaracnoidea
Isquemia
Vasoespasmo
Aneurisma
Clip
Coil
Cirugía
SENEC
Summary

An actualized revision of the most important aspects of aneurismal subarachnoid hemorrhage is presented from the guidelines previously published by the group of study of cerebrovascular pathology of the Spanish Society of Neurosurgery. The proposed recommendations should be considered as a general guide for the management of this pathological condition. However, they can be modified, even in a significant manner according to the circumstances relating each clinical case and the variations in the therapeutic and diagnostic procedures available in the center attending each patient.

Key words:
Subarachnoid hemorrhage
Ischemia
Vasospasm
Aneurysm
Clip
Coil
Surgery
SENEC

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