Abstract

Case Report

CT perfusion-guided endovascular treatment of symptomatic cerebral vasospasm in a patient with perimesencephalic non-aneurysmal subarachnoid hemorrhage

Andrea Saletti*, Andrea Bernardoni, Luca Borgatti1, Giuseppe Carità, Marco Farneti, Onofrio Marcello and Enrico Fainardi

Published: 31 March, 2020 | Volume 4 - Issue 1 | Pages: 020-021

Symptomatic vasospasm represents an uncommon complication of perimesencephalic nonaneurysmal subarachnoid hemorrhage (SAH) which is a benign form of SAH without any recognizable source of bleeding accounting for about 15% of non-traumatic SAH [1,2]. 

Read Full Article HTML DOI: 10.29328/journal.acr.1001033 Cite this Article Read Full Article PDF

References

  1. Schievink WI, Eelco FM, Wijdicks FM, Spetzler RF. Diffuse vasospasm after pretruncal nonaneurysmal subarachnoid hemorrhage. Am J Neuroradiol. 2000; 21: 521-523. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/10730645
  2. Koçak A, Saraç K, Ateş SR, Çailý. Severe cerebral vasospasm caused by non-aneurysmal subarachnoid hemorrhage treatment with transluminal balloon angioplasty. Minim Invas Neurosurg. 2007; 50: 23-26. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/17546539
  3. Biondi A, Ricciardi GK, Puybasset L, Abdennour L, Longo M, et al. Intra-arterial nimodipine for the treatment of symptomatic cerebral vasosopasm after aneurysmal subarachnoid hemorrhage: preliminary results. Am J Neuroradiol. 2004; 25: 1067-1076. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/15205150
  4. Eskridge JM, McAuliffe W, Song JK, Deliganis AV, Newell DW, et al. Balloon angioplasty for the treatment of vasospasm: results of the first 50 cases. Neurosurgery. 1998; 42: 510-517. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/9526985
  5. Greenberg ED, Gold R, Reichman M, John M, Ivanidze J, et al. Diagnostic accuracy of CT angiography and CT perfusion for cerebral vasospasm: a meta-analysis. Am J Neuroradiol. 2010; 31: 1853-1860. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/20884748
  6. Ekelund A, Saveland H, Romner B, Brandt L. Is transcranial Doppler sonography useful in detecting late cerebral ischemia after aneurismal subarachnoid hemorrhage? Br J Neurorsurg. 1996; 10: 19-25. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/8672254
  7. Dankbaar JW, de Rooij NK, Velthuis BK, Frijns CJ, Rinkel GJE, et al. Diagnosing delayed cerebral ischemia with different CT modalities in patients with subarachnoid hemorrhage with clinical deterioration. Stroke. 2009; 40: 3493-3498. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/19762703
  8. Dankbaar JW, de Rooij NK, Smit EJ, Velthuis BK, Frijns CJ, et al. Changes in cerebral perfusion around the time of delayed cerebral ischemia in subarachnoid hemorrhage patients. Cerebrovasc Dis. 2011; 32: 133-140. PubMed: https://www.ncbi.nlm.nih.gov/pubmed/21778710

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