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2015 | OriginalPaper | Buchkapitel

29. Blutungen

verfasst von : Berk Orakcioglu, Dr., PD Dr. Dimitre Staykov, Andreas Unterberg, Prof. Dr., Oliver Sakowitz, Prof. Dr., Martin Bendszus, Prof. Dr., Prof. Dr. Hans Herbert Steiner, Daniel Haux, Dr., Stefan Hähnel, Prof. Dr.

Erschienen in: NeuroIntensiv

Verlag: Springer Berlin Heidelberg

Zusammenfassung

Intrazerebrale Blutungen (ICB) stellen als Subgruppe der Schlaganfälle eine akutmedizinische Herausforderung dar. Spontane ICBs machen in etwa 15 % aller Schlaganfälle aus. Sie treten in verschiedenen Lokalisationen mit unterschiedlicher Beeinträchtigung relevanter Hirnregionen auf. In den letzten Jahren wurde hier die Entwicklung gezielter intensivmedizinsicher Konzepte sowie neuer chirurgischer Techniken stark vorangetrieben. Aneurysmatische Subarachnoidalblutungen (SAB) sind ein für die Neurointensivmedizin bedeutsames Krankheitsbild, da sie trotz aktiver Grundlagenforschung, neuer Diagnostikmethoden und aggressiver Therapie bis heute eine zerebrovaskuläre Erkrankung mit hoher Morbidität und Mortalität geblieben sind. Die optimale Behandlung wird kontrovers diskutiert. Spinale Blutungen gehören innerhalb des Zentralnervensystems zu den seltenen Hämorrhagien. Die klinische Bedeutung der raumfordernden intraspinalen Blutung liegt in ihrem akuten Verlauf mit fortschreitenden neurologischen Ausfällen. Nur bei rechtzeitiger Erkennung der zu Beginn oft verschleierten Symptomatik ist eine erfolgreiche therapeutische Maßnahme überhaupt möglich.
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Metadaten
Titel
Blutungen
verfasst von
Berk Orakcioglu, Dr.
PD Dr. Dimitre Staykov
Andreas Unterberg, Prof. Dr.
Oliver Sakowitz, Prof. Dr.
Martin Bendszus, Prof. Dr.
Prof. Dr. Hans Herbert Steiner
Daniel Haux, Dr.
Stefan Hähnel, Prof. Dr.
Copyright-Jahr
2015
Verlag
Springer Berlin Heidelberg
DOI
https://doi.org/10.1007/978-3-662-46500-4_29

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