Hunt-Hess Grade — Subarachnoid Haemorrhage
Select grade based on clinical findings at presentation.
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Always assess Hunt-Hess grade before administering sedation or analgesia for procedures. Post-medication assessments are unreliable and can misrepresent the patient's true neurological status, affecting treatment decisions and outcome prognostication.
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Hunt and Hess described their scale in a 1968 paper in the Journal of Neurosurgery. They initially proposed it to stratify surgical risk — higher-grade patients had greater operative mortality. Their scale has since become a cornerstone of SAH management worldwide, cited in thousands of publications over more than five decades.
Referencias
- ›Hunt WE, Hess RM. Surgical risk as related to time of intervention in the repair of intracranial aneurysms. J Neurosurg 1968.
- ›Connolly ES et al. 2012 AHA/ASA Guidelines for Management of Aneurysmal SAH. Stroke 2012.
- ›van Gijn J, Kerr RS, Rinkel GJ. Subarachnoid haemorrhage. Lancet 2007.
- ›Rosen DS, Macdonald RL. Subarachnoid hemorrhage grading scales. Neurocrit Care 2005.
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