| Transcranial Doppler as a Routine in the Treatment of Vasospasm Following Subarachanoid Hemorrhage (SAH). | |
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MedLine Citation:
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PMID: 22890648 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Background: Vasospasm is an important complication observed after subarachnoid hemorrhage (SAH) and is a frequent cause of mortality and morbidity. We present our routine management of vasospasm after SAH and emphasize the importance of transcranial Doppler (TCD) ultrasonography in this management. Method: Historical records and images were sampled from June 2005 to September 2011 for 110 patients with SAH due to ruptured aneurysm in the anterior circulation. All surviving patients were followed after discharge. Vasospasm was defined as mild (Lindegaard index 3-4), moderate (Lindegaard index 4-5), and severe (Lindegaard index greater than 5). We excluded patients treated after 72 h of symptom onset. TCD was performed twice per day. Findings: Ninety-nine patients had surgical clipping of the aneurysm, and 11 had endovascular treatment. Seventy patients treated by clipping and six treated by endovascular procedure had vasospasm. Of the 70 clipped patients with vasospasm, 40 had mild vasospasm, 13 had moderate vasospasm, and 17 had severe vasospasm. All six patients treated by coils had moderate vasospasm. The average duration of vasospasm was 9 days (from 7 to 32 days). Conclusions: TCD was crucial for monitoring patients with SAH, and to identify which patients will have a higher risk of developing vasospasm. |
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Authors:
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Renata F Simm; Paulo H Pires de Aguiar; M de Oliveira Lima; Bernardo L Paiva |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Acta neurochirurgica. Supplement Volume: 115 ISSN: 0065-1419 ISO Abbreviation: Acta Neurochir. Suppl. Publication Date: 2013 |
Date Detail:
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Created Date: 2012-08-14 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100962752 Medline TA: Acta Neurochir Suppl Country: Austria |
Other Details:
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Languages: eng Pagination: 75-6 Citation Subset: IM |
Affiliation:
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Division of Neurosurgery, Department of Neurology, Santa Paula Hospital, Sao Paulo, Brazil, rfsimm@gmail.com. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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