SAH Management Algorithm – Peripheral Brain

Notes:  In our practice, we prefer to start seizure prophylaxis in the setting of an unsecured aneurysm to abate potential deleterious effects of seizures on an already dysregulated brain. (N.B. We prefer agents other than phenytoin.) The 2012 American Stroke Association guidelines suggest that a decrease in systolic blood pressure to <160mm Hg is reasonable, but in our…

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