Introduction
Aneurysmal subarachnoid hemorrhage (aSAH) is a neurological emergency with high morbidity and mortality. Its timely management is crucial to improve the prognosis. This review analyzes diagnostic and therapeutic advances, with emphasis on the comparison between endovascular and surgical approaches, highlighting their impact on the clinical evolution of patients.
Methods
This article is a narrative review. An exhaustive literature search on aneurysmal subarachnoid hemorrhage was made in scientific databases: PUBMED, EMBASE, LILACS and TripDatabase, and articles referring to the diagnosis and treatment of this pathology.
Results
To get to know the updates and scientific advances in the early diagnosis and timely treatment of aSAH, whether endovascular or microsurgical, should be the goal of the treating group of patients who suffer from it. The continuous evolution in medical and interventional therapeutic measures, aimed at their initial management and their complications, corresponds to the need to seek alternatives to improve vital and functional outcomes for patients. New interventions could be implemented as treatment standards in the coming years, for example, the use of lumbar drainage systems of cerebrospinal fluid or new therapies for the prevention and management of late cerebral ischemia.
Conclusions
The management of this pathology is a therapeutic challenge and requires a multidisciplinary approach. Recent therapeutic advances have expanded the available options, improving the prognosis and functionality of patients.
