Vasospasm in aneurysmal subarachnoid hemorrhage: diagnosis, prevention, and management. Review uri icon

Overview

abstract

  • Cerebral vasospasm is a major cause of morbidity and mortality associated with subarachnoid hemorrhage (SAH). Advances in neuroimaging and development of newer intraparenchymal monitoring devices have improved the prediction and diagnosis of cerebral vasospasm significantly. Recent experimental and clinical trials have increased the armamentarium of preventive and treatment strategies for cerebral vasospasm. Vasospasm refractory to medical therapy usually is treated endovascularly with percutaneous transluminal balloon angioplasty (PTA) for proximal vessel vasospasm and vasodilator infusion for distal vessel vasospasm. Although vasospasm usually does not recur after PTA, recurrence is frequent after vasodilator infusion. The development of newer microballoon catheters has led to improvements in treatment of not only proximal but also distal vessel vasospasm with balloon angioplasty. This article reports on current knowledge in the diagnosis, prediction, prevention, and management of cerebral vasospasm.

publication date

  • August 1, 2006

Research

keywords

  • Subarachnoid Hemorrhage
  • Vasospasm, Intracranial

Identity

Scopus Document Identifier

  • 33747787992

Digital Object Identifier (DOI)

  • 10.1016/j.nic.2006.05.003

PubMed ID

  • 16935712

Additional Document Info

volume

  • 16

issue

  • 3