FEATURES OF CEREBRAL VASOSPASM WITHIN THE FIRST 72 HOURS FROM ONSET IN PATIENTS WITH ANEURYSMAL SUBARACHNOID HEMORRHAGE
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Abstract
Descriptive observational study aimed to describe the clinical and radiographic features of cerebral vasospasm within the first 72 hours from onset in patients with aneurysmal subarachnoid hemorrhage from 09/2022 to 07/2023 at Bach Mai hospital. A total of 193 patients, 60.6% (117/193) were female and mean age was 58.5 ± 12.9 years, 53.9% (104/193) had history of hypertension. The majority of patients had cerebral vasospasm within the first 72 hours at different levels (76.2%; 147/193) and 51.3% (99/193) had vasospasm in a segment of artery. Moderate and severe vasospasms accounted for 45.1% (87/193).
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References
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7. Marshall SA, Nyquist P, Ziai WC. The role of transcranial Doppler ultrasonography in the diagnosis and management of vasospasm after aneurysmal subarachnoid hemorrhage. Neurosurgery Clinics. 2010;21(2):291-303.
8. Merkel H, Lindner D, Gaber K, et al. Standardized classification of cerebral vasospasm after subarachnoid hemorrhage by digital subtraction angiography. Journal of Clinical Medicine. 2022;11(7):2011.
9. Grandin CB, Cosnard G, Hammer F, Duprez TP, Stroobandt G, Mathurin P. Vasospasm after subarachnoid hemorrhage: diagnosis with MR angiography. American Journal of Neuroradiology. 2000;21(9):1611-1617.
10. Baldwin ME, Macdonald RL, Huo D, et al. Early vasospasm on admission angiography in patients with aneurysmal subarachnoid hemorrhage is a predictor for in-hospital complications and poor outcome. Stroke. 2004; 35(11):2506-2511.
2. Van Gijn J, Kerr RS, Rinkel GJ. Subarachnoid haemorrhage. The Lancet. 2007;369(9558):306-318.
3. Kassell NF, Torner JC, Haley EC, Jane JA, Adams HP, Kongable GL. The international cooperative studyon the timing of aneurysm surgery: Part 1: Overall management results. Journal of neurosurgery. 1990;73(1):18-36.
4. Frontera JA, Fernandez A, Schmidt JM, et al. Defining vasospasm after subarachnoid hemorrhage: what is the most clinically relevant definition? Stroke. 2009;40(6):1963-1968.
5. Kassell N, Sasaki T, Colohan A, Nazar G. Cerebral vasospasm following aneurysmal subarachnoid hemorrhage. Stroke. 1985; 16(4):562-572.
6. Vergouwen MD, Ilodigwe D, Macdonald RL. Cerebral infarction after subarachnoid hemorrhage contributes to poor outcome by vasospasm-dependent and-independent effects. Stroke. 2011;42(4):924-929.
7. Marshall SA, Nyquist P, Ziai WC. The role of transcranial Doppler ultrasonography in the diagnosis and management of vasospasm after aneurysmal subarachnoid hemorrhage. Neurosurgery Clinics. 2010;21(2):291-303.
8. Merkel H, Lindner D, Gaber K, et al. Standardized classification of cerebral vasospasm after subarachnoid hemorrhage by digital subtraction angiography. Journal of Clinical Medicine. 2022;11(7):2011.
9. Grandin CB, Cosnard G, Hammer F, Duprez TP, Stroobandt G, Mathurin P. Vasospasm after subarachnoid hemorrhage: diagnosis with MR angiography. American Journal of Neuroradiology. 2000;21(9):1611-1617.
10. Baldwin ME, Macdonald RL, Huo D, et al. Early vasospasm on admission angiography in patients with aneurysmal subarachnoid hemorrhage is a predictor for in-hospital complications and poor outcome. Stroke. 2004; 35(11):2506-2511.