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physiological features that distinguish senescent cells not only from. The fatality rate of EHF is less than 5% nowadays, and if early diagnosis is made the fatality rate decreases8, whereas mortality among EHF patients with central nervous system (CNS) disturbance is 41%14. Despite the serious condition of SAH associated with EHF, the treatment is mainly supportive. Careful fluid restriction and bed rest as well as sedation are essential. Control of body temperature is necessary and aspirin or cold sponging is recommended for high fever8. Ribavirin increased the number of survivors and the mean time to death in suckling mice infected with hantavirus, which significantly reduced mortality in patients with hemorrhagic fever with renal syndrome in China15. Anti-hantavirus-neutralizing monoclonal antibodies for treatment and prevention of hantavirus infection is an immunotherapy. Phase II clinical trials of this immunotherapy for emergent treatment of patients with hantavirus infection in early stages of hemorrhagic fever with renal syndrome are carried out in endemic areas in China16. To sum up, EHF patients with a serious condition could have one or more CNS abnormalities, such as sudden headache or headache aggravated, vomiting, confusion, meningismus, and convulsions. Physicians need to consider the possibility of merging SAH, make further head CT and lumbar puncture or DSA examination, and give timely treatment to improve the prognosis.. to a psychologist if necessary. Education, self-empowerment and reassurance. ESPEN (European Society for Clinical Nutrition and Metabolism) guidelines in 2009 mentions that preoperative fasting from midnight is unnecessary in most patients (Grade A recommendation) is Lurasidone available over the counter and oral intake of carbohydrate-rich drink before surgery is beneficial and recommended in most patients (Grade A recommendation) [2]..

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