Treatment of Intracranial Vasospasm Following Subarachnoid Hemorrhage
Vasospasm has been a long known source of delayed morbidity and mortality in aneurysmal subarachnoid hemorrhage patients. Delayed ischemic neurologic deficits associated with vasospasm may account for as high as 50% of the deaths in patients who survive the initial period after aneurysm rupture and...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2014-05-01
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| Series: | Frontiers in Neurology |
| Subjects: | |
| Online Access: | http://journal.frontiersin.org/Journal/10.3389/fneur.2014.00072/full |
| _version_ | 1818912131556311040 |
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| author | Andrew Michael Bauer Peter eRasmussen |
| author_facet | Andrew Michael Bauer Peter eRasmussen |
| author_sort | Andrew Michael Bauer |
| collection | DOAJ |
| description | Vasospasm has been a long known source of delayed morbidity and mortality in aneurysmal subarachnoid hemorrhage patients. Delayed ischemic neurologic deficits associated with vasospasm may account for as high as 50% of the deaths in patients who survive the initial period after aneurysm rupture and its treatment. The diagnosis and treatment of vasospasm has still been met with some controversy. It is clear that subarachnoid hemorrhage is best cared for in tertiary care centers with modern rescources and access to cerebral angiography. Ultimately, a high degree of suspicion for vasospasm must be kept during ICU care, and any signs or symptoms must be investigated and treated immediately to avoid permanent stroke and neurologic deficit. Treatment for vasospasm can occur through both ICU intervention and endovascular administration of intraarterial vasodilators and balloon angioplasty. The best outcomes are often attained when these methods are used in conjunction. The following article reviews the literature on cerebral vasospasm and its treatment and provides the authors' approach to treatment of these patients. |
| first_indexed | 2024-12-19T23:09:43Z |
| format | Article |
| id | doaj.art-c29eec8380a04dacbadfbbf2ae61b3f4 |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-12-19T23:09:43Z |
| publishDate | 2014-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-c29eec8380a04dacbadfbbf2ae61b3f42022-12-21T20:02:17ZengFrontiers Media S.A.Frontiers in Neurology1664-22952014-05-01510.3389/fneur.2014.0007289021Treatment of Intracranial Vasospasm Following Subarachnoid HemorrhageAndrew Michael Bauer0Peter eRasmussen1Cleveland Clinic FoundationCleveland Clinic FoundationVasospasm has been a long known source of delayed morbidity and mortality in aneurysmal subarachnoid hemorrhage patients. Delayed ischemic neurologic deficits associated with vasospasm may account for as high as 50% of the deaths in patients who survive the initial period after aneurysm rupture and its treatment. The diagnosis and treatment of vasospasm has still been met with some controversy. It is clear that subarachnoid hemorrhage is best cared for in tertiary care centers with modern rescources and access to cerebral angiography. Ultimately, a high degree of suspicion for vasospasm must be kept during ICU care, and any signs or symptoms must be investigated and treated immediately to avoid permanent stroke and neurologic deficit. Treatment for vasospasm can occur through both ICU intervention and endovascular administration of intraarterial vasodilators and balloon angioplasty. The best outcomes are often attained when these methods are used in conjunction. The following article reviews the literature on cerebral vasospasm and its treatment and provides the authors' approach to treatment of these patients.http://journal.frontiersin.org/Journal/10.3389/fneur.2014.00072/fullSubarachnoid HemorrhageCerebral aneurysmcerebral vasospasmballoon angioplastydelayed ischemic neurologic deficit |
| spellingShingle | Andrew Michael Bauer Peter eRasmussen Treatment of Intracranial Vasospasm Following Subarachnoid Hemorrhage Frontiers in Neurology Subarachnoid Hemorrhage Cerebral aneurysm cerebral vasospasm balloon angioplasty delayed ischemic neurologic deficit |
| title | Treatment of Intracranial Vasospasm Following Subarachnoid Hemorrhage |
| title_full | Treatment of Intracranial Vasospasm Following Subarachnoid Hemorrhage |
| title_fullStr | Treatment of Intracranial Vasospasm Following Subarachnoid Hemorrhage |
| title_full_unstemmed | Treatment of Intracranial Vasospasm Following Subarachnoid Hemorrhage |
| title_short | Treatment of Intracranial Vasospasm Following Subarachnoid Hemorrhage |
| title_sort | treatment of intracranial vasospasm following subarachnoid hemorrhage |
| topic | Subarachnoid Hemorrhage Cerebral aneurysm cerebral vasospasm balloon angioplasty delayed ischemic neurologic deficit |
| url | http://journal.frontiersin.org/Journal/10.3389/fneur.2014.00072/full |
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