Adel E. Ahmed Ganaw - Management of Subarachnoid Hemorrhage

When a person dies, his deeds are cut off except for three: Continuing charity, knowledge that others benefited from, and a righteous son who supplicates for him.Prophet Mohammad

Aneurysmal subarachnoid hemorrhage (aSAH) is considered one of the most devastating neurosurgical emergencies affecting healthy individuals in the most productive stage of their life. Less than 16% of patients will return to their premorbid status.

This book is designed by the authors to be a comprehensive description of aneurysmal subarachnoid hemorrhage. The book discusses different workup modalities, investigations, and both pharmacological and interventional approaches to managing this condition.

The fourteen chapters cover the fundamentals of aSAH and relevant patient-related information. The initial section/part of this book consists of an overview of relevant vascular anatomy, neurophysiology, and neuroprotection. Acquisition of this knowledge is the keystone for the rational practice of clinical neurosurgery.

Early chapters then focus on diagnosis including history, clinical examination, and various radiological modalities. A very useful chapter discusses the grading of aSAH, exploring the different scoring systems used to assess the severity and to predict complications from this condition. Subsequent chapters cover perioperative management, including the different techniques employed to secure cerebral aneurysms, as well as neurological and non-neurological complications. Critical care management is also discussed in detail. The final chapters cover traumatic subarachnoid hemorrhage, brain death, and ethics.

In summary, I strongly recommend this superb book to all medical students, residents, specialists, and fellows of emergency medicine, neurology, neurosurgery, neuroanesthesia, internal medicine, intensive care, and trauma.

The authors broad training in basic science and their extensive clinical experience provide them with a unique background enabling them to develop invaluable insights in this subject. They have been successful in presenting the vast expanse of basic and clinical knowledge necessary for the management of aSAH in the twenty-first century, in a coherent manner.

Undoubtedly, all will enjoy reading this book. I would like to congratulate all of the authors and editors for their efforts in producing this book.

I dedicate this book to my fathers immaculate soul and my mother, both of whom have taught me over the years and gave me the opportunity to succeed.

I am very much thankful to my wife and my kids for their patience, continuous support, and encouragement while writing this book.