Ruptured intracranial aneurysms in the elderly: epidemiology, diagnosis, and management

Neurocritical Care
J SedatP Paquis

Abstract

Spontaneous subarachnoid hemorrhage (SAH) is often a devastating condition and a significant cause of worldwide morbidity and mortality. Because the percentage of senior citizens is increasing in many countries and because of the increased incidence of SAH in elderly patients, ruptured intracranial aneurysm is an increasingly frequent pathology in western countries. Twenty years ago, older people were considered to have such a poor prognosis that they were frequently excluded from active treatment on the unique basis of their advanced age. Improving results published in recent studies showed that the classic fatalistic attitude associated with age and intracranial aneurysm (IA) should be reconsidered. Therefore, because of improvements in surgical results and neuro-intensive care, the appearance of interventional neuroradiology, and more aggressive rehabilitation programs, the management of ruptured IA in the elderly is changing. This article aims to review epidemiology, emphasize the specific aspects of the disease in the elderly, and present the current management of SAH in an elderly population.

Citations

Mar 22, 2008·Journal of Neurology·José M FerroR Peralta
Oct 17, 2008·Radiologic Clinics of North America·John B Weigele, Robert W Hurst
Oct 13, 2012·Journal of the American Geriatrics Society·Paul T AkinsMark W Hawk
Aug 1, 2016·Emergency Medicine Clinics of North America·Lauren M Nentwich, Benjamin Grimmnitz

Related Concepts

Age Factors
Mycotic Aneurysm, Intracranial
Subarachnoid Hemorrhage, Spontaneous
Aneurysm, Ruptured

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