Monitoring
A plan for follow up care and multidisciplinary rehabilitation after SAH should be developed and shared with the patient and their caregiver.
Follow-up neuroimaging should be considered for patients who have had an aneurysmal subarachnoid hemorrhage.[67] 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 surgery 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.[67]
Patients who have undergone coiling or clipping of a ruptured aneurysm should always have delayed follow-up vascular imaging to screen for the recurrence or regrowth of the treated aneurysm, or the development of new aneurysms.[37] Retreatment may be considered if there is a clinically significant (e.g., growing) remnant.[37] In patients with untreated, unruptured intracranial aneurysms, follow-up with a neurosurgeon/endovascular specialist is warranted to gauge the possible growth of aneurysm(s).
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