NOTARZT, Table of Contents NOTARZT 2016; 32(05): 236-243DOI: 10.1055/s-0042-116457 CME – Fort- und Weiterbildung © Georg Thieme Verlag Stuttgart · New York Subarachnoidalblutung – Symptome, Differenzialdiagnosen, Fallstricke, Therapie Subarachnoid hemorrhage-symptoms, differential diagnoses, pitfalls, therapy A. Harth 1 Bundeswehrkrankenhaus Ulm, Klinik für Neurologie , K. Efinger 2 Bundeswehrkrankenhaus Ulm, Klinik für Radiologie , M. Kulla 3 Bundeswehrkrankenhaus Ulm, Klinik für Anästhesiologie und Intensivmedizin , U. Mauer 4 Bundeswehrkrankenhaus Ulm, Klinik für Neurochirurgie › Author Affiliations Recommend Article Abstract Buy Article Eine Subarachnoidalblutung (SAB) ist eine lebensbedrohliche Erkrankung. Die zeitnahe Diagnose und Versorgung tragen daher wesentlich zu einem guten Verlauf bei. Wie es zu einer SAB kommt, welche Arten es gibt und wie man sie diagnostiziert, lesen Sie in diesem Beitrag. Full Text References Literatur 1 Feigin VL, Lawes CMM, Bennett DA et al. Worldwide stroke incidence and early case fatality reported in 56 population based studies: A systematic review. Lancet Neurol 2009; 8: 355-369 2 Phelan HA, Richter AA, Scott WW et al. Does Isolated Traumatic Subarachnoid Hemorrhage Merit a Lower Intensity Level of Observation Than Other Traumatic Brain Injury?. J Neurotrauma 2014; 31: 1733-1736 3 Friedman BW, Grosberg BM. Diagnosis and management of the primary headache disorders in the emergency department setting. Emerg Med Clin North Am 2009; 27: 71-viii 4 Ibrahim GM, Macdonald RL. Electrocardiographic changes predict angiographic vasospasm after aneurysmal subarachnoid hemorrhage. Stroke 2012; 43: 2102-2107 5 Stewart H, Reuben A, McDonald J et al. LP or not LP, that is the question: gold standard or unnecessary procedure in subarachnoid haemorrhage?. Emerg Med J 2014; 31: 720-723 6 Mark DG, Sonne DC, Jun P et al. False-negative Interpretations of Cranial Computed Tomography in Aneurysmal Subarachnoid Hemorrhage. Acad Emerg Med 2016; 23: 591-598 7 Phillips TJ, Dowling RJ, Yan B et al. Does treatment of ruptured intracranial aneurysms within 24 hours improve clinical outcome?. Stroke 2011; 42: 1936-1945 8 Molyneux AJ, Kerr RS, Yu LM et al. International subarachnoid aneurysm trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomised comparison of effects on survival, dependency, seizures, rebleeding, subgroups, and aneurysm occlusion. Lancet 2005; 366 (9488) 809-817 9 Jiang H, Weng YX, Zhu Y et al. Patient and aneurysm characteristics associated with rupture risk of multiple intracranial aneurysms in the anterior circulation system. Acta Neurochir (Wien) 2016; 158: 1367-1375 10 Deutsche Gesellschaft für Neurologie. Subarachnoidalblutung (SAB) Online: http://www.dgn.org/leitlinien/2318-ll-26-2012-subarachnoidalsblutung-sab (letzter Zugriff: 8.9.2016) 11 Muniz CF, Shenoy AV, OʼConnor KL et al. Clinical Development and Implementation of an Institutional Guideline for Prospective EEG Monitoring and Reporting of Delayed Cerebral Ischemia. J Clin Neurophysiol 2016; 33: 217-226 12 Foreman B. The Pathophysiology of Delayed Cerebral Ischemia. J Clin Neurophysiol 2016; 33: 174-182 13 Inagawa T. Risk Factors for Cerebral Vasospasm Following Aneurysmal Subarachnoid Hemorrhage: A Review of the Literature. World Neurosurg 2016; 85: 56-76 14 Spetzler RF, McDougall CG, Zabramski JM et al. The Barrow Ruptured Aneurysm Trial: 6-year results. J Neurosurg 2015; 123: 609-617