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J Korean Neurosurg Soc. 2018 Mar;61(2):127-166. doi: 10.3340/jkns.2017.0404.005. Epub 2018 Feb 28.

Korean Clinical Practice Guidelines for Aneurysmal Subarachnoid Hemorrhage.

Author information

1
Department of Neurosurgery, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea.
2
Department of Neurosurgery, Soonchunhyang University School of Medicine, Seoul, Korea.
3
Departments of Neurosurgery, Medical Research Institute, Pusan National University Hospital, Busan, Korea.
4
Department of Neurosurgery, Institute of Wonkwang Medical Science, Wonkwang University School of Medicine, Iksan, Korea.
5
Department of Neurosurgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
6
Department of Neurosurgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
7
Department of Neurosurgery, Eulji University Hospital, Daejeon, Korea.
8
Department of Neurosurgery, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
9
Department of Neurosurgery, Chonnam National University Hospital, Chonnam National University Medical School, Gwangju, Korea.
10
Department of Neurosurgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.
11
Department of Rehabilitation Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
12
Department of Physical and Rehabilitation Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
13
Department of Neurosurgery, Hanyang University Medical Center, Seoul, Korea.
14
Department of Neurosurgery, Kyung Hee University School of Medicine, Seoul, Korea.
15
Department of Neurosurgery, Bundang Jesaeng General Hospital, Seongnam, Korea.
16
Department of Radiology, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
17
Department of Neurology, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.
18
Department of Neurosurgery, Inha University School of Medicine, Incheon, Korea.

Abstract

Despite advancements in treating ruptured cerebral aneurysms, an aneurysmal subarachnoid hemorrhage (aSAH) is still a grave cerebrovascular disease associated with a high rate of morbidity and mortality. Based on the literature published to date, worldwide academic and governmental committees have developed clinical practice guidelines (CPGs) to propose standards for disease management in order to achieve the best treatment outcomes for aSAHs. In 2013, the Korean Society of Cerebrovascular Surgeons issued a Korean version of the CPGs for aSAHs. The group researched all articles and major foreign CPGs published in English until December 2015 using several search engines. Based on these articles, levels of evidence and grades of recommendations were determined by our society as well as by other related Quality Control Committees from neurointervention, neurology and rehabilitation medicine. The Korean version of the CPGs for aSAHs includes risk factors, diagnosis, initial management, medical and surgical management to prevent rebleeding, management of delayed cerebral ischemia and vasospasm, treatment of hydrocephalus, treatment of medical complications and early rehabilitation. The CPGs are not the absolute standard but are the present reference as the evidence is still incomplete, each environment of clinical practice is different, and there is a high probability of variation in the current recommendations. The CPGs will be useful in the fields of clinical practice and research.

KEYWORDS:

Aneurysmal subarachnoid hemorrhage; Clinical practice guideline; Korean version

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