Although the mortality and morbidity associated with SAH once patients have arrived at hospital is slowly decreasing, the incidence of SAH has changed little. Effective screening and management of patients at risk of aneurysmal SAH require a better understanding of risk factors, the pathogenesis of aneurysms and the natural history of aneurysmal development and rupture. Following rupture, successful outcome in these patients is dependent upon an accurate appreciation of the pathophysiological consequences of aneurysm rupture, close monitoring and prevention of medical complications and secondary cerebral insults. Much of the literature regarding SAH is conflicting and further research is needed to consolidate our knowledge, particularly in identification of "at-risk" groups and clarification of screening protocols, the pathogenesis and management of vasospasm and the role of endovascular treatments in the management of ruptured aneurysms.
Was this article helpful?
The term vaginitis is one that is applied to any inflammation or infection of the vagina, and there are many different conditions that are categorized together under this ‘broad’ heading, including bacterial vaginosis, trichomoniasis and non-infectious vaginitis.