Repeated endovascular therapy for refractory cerebral vasospasm

Authors

DOI:

https://doi.org/10.21615/cesmedicina.34.1.7

Keywords:

Vasospasm Intracranial, Endovascular Procedures, Ultrasonography Doppler Transcranial, Subarachnoid hemorrhage

Abstract

Cerebral vasospasm is a severe complication of subarachnoid hemorrhage. Monitoring and detection of vasospasm by non-invasive methods as well as the endovascular therapy have revolutionized healthcare. A 45-years-old male patient presented with a ruptured aneurysm in the anterior communicating artery and developed severe refractory vasospasm since the eighth day of aneurysm rupture. Vasospasm was timely detected with non-invasive techniques and successfully endovascular therapy was provided five times with neurological and radiological recovery each time and no neurological sequelae. This report contributes to current practice as it demonstrates the benefit of repeated endovascular therapy for refractory cerebral vasospasm, especially when clinical and non-invasive monitoring shows persistence of this complication. Furthermore, we review the current evidence-based me- dicine recommendations about Transcranial Doppler Ultrasonography that support the monitoring and detection of cerebral vasospasm.

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Published

2020-02-11

How to Cite

Salazar-Díaz, L. C., & Neira-Escobar, F. E. (2020). Repeated endovascular therapy for refractory cerebral vasospasm. CES Medicina, 34(1), 74–82. https://doi.org/10.21615/cesmedicina.34.1.7

Issue

Vol. 34 No. 1 (2020): CES Medicina

Section

Reporte de caso

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