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

Korean Clinical Practice Guidelines for Aneurysmal Subarachnoid Hemorrhage

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

Keyword

Aneurysmal subarachnoid hemorrhage; Clinical practice guideline; Korean version
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