Acta Neurochirurgica Supplement

Haemostasis in Cerebrospinal Fluid

Basic Concept of Antifibrinolytic Therapy of Subarachnoid Haemorrhage

Authors: Hindersin, P., Heidrich, R., Endler, S.

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Almost a hundred years passed from the time of the first description of an intracranial aneurysm by Morgagni in 1761 to the year 1859, when Sir William Withey Gull arrived at the conclusion that haemorrhage in the subarachnoid space is caused by ruptured aneurysms. The introduction of lumbar puncture by Quincke 1891 and cerebral angiography by Moniz 1927 made it possible to establish the diagnosis of haemorrhage and its source. In recent decades the problems of treatment have come into prominence, first of all because of the inadequacy of conservative methods of treatment in most of the cases, and from surgical experience and its limitations which became apparent before very long. Because of the erratic development of neurosurgery and vascular surgery, above all, since the technique of microsurgery has been used, the entire removal of the source of haemorrhage has become a possibility, even though there were still quite different views taken regarding the most convenient time for surgical intervention, apart from the prevailing local conditions 134, 143, 144,261. In an up-to-date plan of treatment of subarachnoid haemĀ­ orrhage (SAH) conservative measures are appropriate for bridging the pre-operative period, and must be considered the only solution in those cases in which the source of haemorrhage cannot be found. As far as the effectiveness of such conservative therapy is conĀ­ cerned, the rate of re bleeding and the mortality provide sufficient comment.

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Buy this book

eBook $69.99 net
( price for USA )
  • ISBN 978-3-7091-4047-5
  • digitally watermarked, no DRM
  • included format: PDF
  • eBooks can be used on all Reading Devices
Softcover $99.00 net
( price for USA )
  • ISBN 978-3-211-81839-8
  • free shipping for individuals worldwide
  • usually dispatched within 3 to 5 business days

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Bibliographic Information

Bibliographic Information
Book Title
Haemostasis in Cerebrospinal Fluid
Book Subtitle
Basic Concept of Antifibrinolytic Therapy of Subarachnoid Haemorrhage
Series Title
Acta Neurochirurgica Supplement
Series Volume
34
Copyright
1984
Publisher
Springer-Verlag Wien
Copyright Holder
Springer-Verlag Wien
eBook ISBN
978-3-7091-4047-5
DOI
10.1007/978-3-7091-4047-5
Softcover ISBN
978-3-211-81839-8
Series ISSN
0065-1419
Edition Number
1
Topics