Monitoring
Offer rehabilitation after subarachnoid haemorrhage (SAH) in line with guidelines on stroke rehabilitation in adults and rehabilitation after critical illness in adults.[37][205][206]
Follow-up neuroimaging should be considered for people who have had an aneurysmal SAH. The choice of imaging modality and the frequency and duration of follow-up should be tailored to the individual patient and will usually be based on the type and outcome of any neurointervention or neurosurgery on the initial aneurysm, the presence of any non-culprit aneurysm, estimated risk of further bleeding, risks of planned investigations and any subsequent interventions, and patient preference.[37]
Do not withhold treatment with antiplatelets or anticoagulants solely on the basis of an aneurysmal subarachnoid haemorrhage if the culprit aneurysm has been secured by coiling or clipping.[37] Balance the risks and benefits of treatment with an antiplatelet or anticoagulant, taking into account specialist assessment of the risk of a future subarachnoid haemorrhage.[37]
Manage seizures in people who have recovered from an aneurysmal subarachnoid haemorrhage in line with national guidelines on epilepsies.[37]
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