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KMID : 1001920180610020127
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Journal of Korean Neurosurgical Society
2018 Volume.61 No. 2 p.127 ~ p.166
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Korean Clinical Practice Guidelines for Aneurysmal Subarachnoid Hemorrhage
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Cho Won-Sang
Kim Jeong-Eun
Park Sukh-Que
Ko Jun-Kyeung
Kim Dae-Won
Park Jung-Cheol
Yeon Je-Young
Chung Seung-Young
Chung Joon-Ho
Joo Sung-Pil
Hwang Gyo-Jun
Kim Deog-Young
Chang Won-Hyuk
Choi Kyu-Sun
Lee Sung-Ho
Sheen Seung-Hun
Kang Hyun-Seung
Kim Byung-Moon
Bae Hee-Joon
Oh Chang-Wan
Park Hyeon-Seon
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Abstract
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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.
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KEYWORD
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Aneurysmal subarachnoid hemorrhage , Clinical practice guideline , Korean version
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