Kenny Li, Christen D Barras, Ronil V Chandra, Hong K Kok, Julian T Maingard, Nicole S Carter, Jeremy H Russell, Leon Lai, Mark Brooks, Hamed Asadi
BACKGROUND: Despite decades of research, cerebral vasospasm (CV) continues to account for high morbidity and mortality in patients who survive their initial aneurysmal subarachnoid hemorrhage. OBJECTIVE: To define the scope of the problem and review key treatment strategies that have shaped the way CV is managed in the contemporary era. METHODS: A literature search was performed of CV management after aneurysmal subarachnoid hemorrhage. RESULTS: Recent advances in neuroimaging have led to improved detection of vasospasm, but established treatment guidelines including hemodynamic augmentation and interventional procedures remain highly variable among neurosurgical centers...
June 2019: World Neurosurgery